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Deficiency Records for Inniswood Health and Rehabilitation
View the most recent health deficiencies and inspection results for Inniswood Health and Rehabilitation. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Inniswood Health and Rehabilitation. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-04-09 | 2026-04-15 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-07-01 | 2025-07-30 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-07-01 | 2025-07-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-07-01 | 2025-07-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-07-01 | 2025-07-30 | N |
| Post nurse staffing information every day. | Health | 2025-07-01 | 2025-07-30 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-07-01 | 2025-07-30 | 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 | 2025-07-01 | 2025-07-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-07-01 | 2025-07-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-07-01 | 2025-07-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-07-01 | 2025-07-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-07-01 | 2025-07-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-07-01 | 2025-07-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-07-01 | 2025-07-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-07-01 | 2025-07-30 | 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 | 2025-07-01 | 2025-07-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2025-07-01 | 2025-07-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-07-01 | 2025-07-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-07-01 | 2025-07-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-07-01 | 2025-07-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-07-01 | 2025-07-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-07-01 | 2025-07-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-07-01 | 2025-07-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-07-01 | 2025-07-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-07-01 | 2025-07-30 | N |
| Respond appropriately to all alleged violations. | Health | 2025-01-21 | 2025-02-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-21 | 2025-02-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-28 | 2024-09-30 | 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 | 2024-08-28 | 2024-09-30 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-28 | 2024-09-30 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-02 | 2024-05-13 | 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 | 2024-02-02 | 2024-03-01 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-02-02 | 2024-03-01 | 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 | 2024-02-02 | 2024-03-01 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-02-02 | 2024-03-01 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-02-02 | 2024-03-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-02 | 2024-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-02 | 2024-03-01 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-02-02 | 2024-03-01 | 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 | 2024-02-02 | 2024-03-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-02-02 | 2024-03-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-02-02 | 2024-03-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-02-02 | 2024-03-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-02-02 | 2024-03-01 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2024-02-02 | 2024-03-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-02 | 2024-03-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-02 | 2024-03-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-02 | 2024-03-01 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-02-02 | 2024-03-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-02 | 2024-03-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-02 | 2024-03-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-01-31 | 2022-04-05 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-01-31 | 2022-04-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-31 | 2022-04-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-31 | 2022-04-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-31 | 2022-04-04 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-01-31 | 2022-04-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-31 | 2022-04-04 | 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 | 2022-01-31 | 2022-04-04 | 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 | 2022-01-31 | 2022-04-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-31 | 2022-04-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-31 | 2022-04-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-31 | 2022-04-04 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-01-31 | 2022-04-04 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-01-31 | 2022-04-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-31 | 2022-04-04 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-01-31 | 2022-04-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-01-31 | 2022-04-04 | N |
| Meet other general requirements. | Fire Safety | 2022-01-31 | 2022-04-04 | 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 | 2022-01-31 | 2022-04-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-01-31 | 2022-04-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-31 | 2022-04-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-01-31 | 2022-04-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-31 | 2022-04-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-01-31 | 2022-04-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-01-31 | 2022-04-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-01-31 | 2022-04-04 | N |