Deficiency Records for Rocky River Gardens Rehab and Nursing Ctr
Updated as of March 01, 2024
A list of the most recent deficiencies for Rocky River Gardens Rehab and Nursing Ctr. 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? |
|---|---|---|---|---|
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-12-15 | 2023-12-18 | Y |
| 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 | 2023-06-14 | 2023-07-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-14 | 2023-07-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-14 | 2023-07-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-14 | 2023-07-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-14 | 2023-07-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-14 | 2023-07-11 | 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 | 2023-06-14 | 2023-07-11 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-06-14 | 2023-07-11 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-06-14 | 2023-07-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-14 | 2023-07-11 | N |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2023-06-14 | 2023-07-11 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-06-14 | 2023-07-11 | 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 | 2023-06-06 | 2023-07-11 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-06-06 | 2023-07-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-06 | 2023-07-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-06-06 | 2023-07-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-14 | 2023-04-20 | 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 | 2023-02-09 | 2023-02-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-30 | 2022-09-09 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-30 | 2022-09-09 | Y |
| Dispose of garbage and refuse properly. | Health | 2022-08-30 | 2022-09-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-27 | 2021-06-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-05 | 2019-12-20 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-12-05 | 2019-12-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-05 | 2019-12-20 | 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 | 2019-12-05 | 2019-12-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-05 | 2019-12-20 | 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 | 2019-12-05 | 2019-12-20 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-12-05 | 2019-12-20 | N |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2019-12-05 | 2019-12-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-05 | 2019-12-20 | 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 | 2019-12-03 | 2019-12-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-03 | 2019-12-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-03 | 2019-12-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-03 | 2019-12-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-03 | 2019-12-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-10-25 | 2019-01-24 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-10-25 | 2019-01-24 | 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 | 2018-10-25 | 2019-01-24 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2018-10-25 | 2019-01-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-10-24 | 2019-01-24 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-10-24 | 2019-01-18 | N |
| Use approved construction type or materials. | Fire Safety | 2018-10-24 | 2019-01-18 | 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 | 2018-10-24 | 2019-01-18 | 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 | 2018-10-24 | 2019-01-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-24 | 2019-01-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-10-24 | 2019-01-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-10-24 | 2019-01-18 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-10-24 | 2019-01-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-25 | 2019-01-17 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-10-25 | 2019-01-17 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-10-25 | 2019-01-17 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-10-25 | 2019-01-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-25 | 2019-01-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-10-25 | 2019-01-17 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-10-25 | 2019-01-17 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2018-10-25 | 2019-01-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-25 | 2019-01-17 | 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 | 2018-10-25 | 2019-01-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-10-25 | 2019-01-17 | N |
| Post nurse staffing information every day. | Health | 2021-08-16 | Not Fixed | Y |
