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? |
|---|---|---|---|---|
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-13 | 2022-11-28 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-10-13 | 2022-11-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-13 | 2022-11-28 | N |
| Keep all essential equipment working safely. | Health | 2022-10-13 | 2022-11-28 | N |
| Have policies on smoking. | Health | 2022-10-13 | 2022-11-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-12 | 2022-11-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-12 | 2022-11-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-12 | 2022-11-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-12 | 2022-11-28 | 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 | 2022-08-31 | 2022-09-20 | Y |
| 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 |
| 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 |
| 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 |
| Protect each resident from the wrongful use of the resident's belongings or money. | 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 |
| 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 |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 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 |
