Deficiency Records for Hospitality Center For Rehabilitation and Healing
Updated as of April 01, 2019
This is not the most recent data for Hospitality Center For Rehabilitation and Healing. For the most recent information, click here.
A list of the most recent deficiencies for Hospitality Center For Rehabilitation and Healing. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-11-29 | 2019-03-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-11-29 | 2019-03-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-11-29 | 2019-03-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-29 | 2019-03-20 | N |
| Be properly staffed | Fire Safety | 2018-11-29 | 2019-03-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-11-29 | 2019-03-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-29 | 2019-03-20 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-02-06 | 2019-03-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-10 | 2019-03-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-29 | 2019-03-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-11-29 | 2019-03-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-11-29 | 2019-03-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-29 | 2019-03-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-29 | 2019-03-20 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-11-29 | 2019-03-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-29 | 2019-03-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-29 | 2019-03-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-29 | 2019-03-20 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-11-29 | 2019-03-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-29 | 2019-03-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-29 | 2019-03-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-11-29 | 2018-12-28 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-11-29 | 2018-12-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-05 | 2018-11-29 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-11-05 | 2018-11-29 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-10-10 | 2018-11-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-10-10 | 2018-11-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-10-10 | 2018-11-29 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2017-09-13 | 2017-10-26 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2017-09-13 | 2017-10-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-09-13 | 2017-10-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-09-13 | 2017-10-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-09-13 | 2017-10-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-09-13 | 2017-10-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-09-13 | 2017-10-26 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-09-14 | 2017-10-26 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-09-14 | 2017-10-26 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-09-14 | 2017-10-26 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-04 | 2017-05-19 | Y |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-07-19 | 2016-08-26 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-07-19 | 2016-08-26 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-07-19 | 2016-08-26 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-07-19 | 2016-08-26 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-07-19 | 2016-08-26 | N |
