Deficiency Records for Troy Rehabilitation and Healthcare Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Troy Rehabilitation and Healthcare 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 and implement an infection prevention and control program. | Health | 2023-12-18 | 2023-12-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-20 | 2023-02-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-17 | 2022-11-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-19 | 2022-09-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-13 | 2022-06-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-13 | 2022-06-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-13 | 2022-06-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-13 | 2022-06-29 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-06-13 | 2022-06-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-13 | 2022-06-29 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-06-13 | 2022-06-29 | N |
| 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 | 2022-06-07 | 2022-06-29 | 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 | 2022-06-07 | 2022-06-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-07 | 2022-06-29 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-06-07 | 2022-06-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-07 | 2022-06-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-07 | 2022-06-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-07 | 2022-06-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-06-07 | 2022-06-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-21 | 2022-04-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-30 | 2022-04-22 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-14 | 2022-04-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-14 | 2022-04-22 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-02-14 | 2022-04-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-14 | 2022-04-22 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-02-14 | 2022-04-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-14 | 2022-04-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-21 | 2022-01-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-06 | 2021-12-30 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-09-21 | 2021-10-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-21 | 2021-10-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-09-21 | 2021-10-18 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-09-21 | 2021-10-18 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-04-29 | 2021-05-18 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-15 | 2021-05-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-05 | 2021-05-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-05 | 2021-05-18 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-05-23 | 2019-06-25 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-05-23 | 2019-06-25 | 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 | 2019-05-23 | 2019-06-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-05-23 | 2019-06-25 | N |
| Provide activities to meet all resident's needs. | Health | 2019-05-23 | 2019-06-25 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-05-23 | 2019-06-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-05-23 | 2019-06-25 | 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 | 2019-05-23 | 2019-06-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-23 | 2019-06-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-23 | 2019-06-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-05-23 | 2019-06-25 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-05-23 | 2019-06-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-05-23 | 2019-06-25 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-05-23 | 2019-06-25 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-05-23 | 2019-06-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-23 | 2019-06-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-23 | 2019-06-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-05-23 | 2019-06-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-05-23 | 2019-06-25 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-05-23 | 2019-06-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-05-23 | 2019-06-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-23 | 2019-06-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-23 | 2019-06-25 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-04-12 | 2018-05-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-04-12 | 2018-05-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-12 | 2018-05-15 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2018-04-12 | 2018-05-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-12 | 2018-05-15 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2018-04-10 | 2018-05-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-10 | 2018-05-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-04-10 | 2018-05-15 | N |
