Deficiency Records for London Health and Rehab Center
Updated as of March 01, 2021
This is not the most recent data for London Health and Rehab Center. For the most recent information, click here.
A list of the most recent deficiencies for London Health and Rehab Center. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-11-24 | 2020-12-22 | Y |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2019-12-30 | 2020-01-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-12-30 | 2020-01-31 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-12-30 | 2020-01-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-30 | 2020-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-30 | 2020-01-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-30 | 2020-01-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-12-30 | 2020-01-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-12-30 | 2020-01-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-30 | 2020-01-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-30 | 2020-01-31 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2020-01-02 | 2020-01-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-02 | 2020-01-31 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2020-01-02 | 2020-01-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-01 | 2019-11-01 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2019-10-01 | 2019-11-01 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-02-26 | 2019-03-22 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-12-05 | 2019-01-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-12-05 | 2019-01-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-12-05 | 2019-01-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-12-05 | 2019-01-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-12-05 | 2019-01-10 | N |
| Be properly staffed | Fire Safety | 2018-12-05 | 2019-01-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-12-05 | 2019-01-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-05 | 2019-01-10 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-12-06 | 2019-01-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-12-06 | 2019-01-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-12-06 | 2019-01-10 | N |
| Respond appropriately to all alleged violations. | Health | 2018-12-06 | 2019-01-10 | 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 | 2018-12-06 | 2019-01-10 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-12-06 | 2019-01-10 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-12-06 | 2019-01-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-12-06 | 2019-01-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-06 | 2019-01-10 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2018-12-06 | 2019-01-10 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-19 | 2018-12-06 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2018-08-22 | 2018-09-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-08-22 | 2018-09-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-22 | 2018-09-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-22 | 2018-09-13 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-11-02 | 2017-11-16 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-11-02 | 2017-11-16 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-11-02 | 2017-11-16 | N |
| Assess in a timely manner the resident when the resident enters the nursing home. | Health | 2017-11-02 | 2017-11-16 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-11-02 | 2017-11-16 | N |
| Provide food in a way that meets a resident's needs. | Health | 2017-11-02 | 2017-11-16 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-11-02 | 2017-11-16 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-11-02 | 2017-11-16 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-11-02 | 2017-11-16 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-11-02 | 2017-11-16 | N |
