A list of the most recent deficiencies for Warren Nursing and Rehab. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-31 | 2023-06-14 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-10-05 | 2022-10-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-05 | 2022-10-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-05 | 2022-10-21 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-07-28 | 2022-08-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-28 | 2022-08-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-07-28 | 2022-08-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-21 | 2022-05-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-21 | 2022-05-18 | 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 | 2022-04-21 | 2022-05-18 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-04-21 | 2022-05-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-21 | 2022-05-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-21 | 2022-05-18 | 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 | 2022-04-21 | 2022-05-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-21 | 2022-05-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-04-21 | 2022-05-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-19 | 2022-05-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-19 | 2022-05-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-19 | 2022-05-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-04-19 | 2022-05-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-19 | 2022-05-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-19 | 2022-05-18 | N |
| Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2022-01-31 | 2022-02-11 | 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 | 2021-09-16 | 2021-10-22 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-16 | 2021-10-22 | Y |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-09-16 | 2021-10-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-04 | 2019-05-14 | 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 | 2019-04-04 | 2019-05-14 | N |
| Use approved construction type or materials. | Fire Safety | 2019-04-03 | 2019-05-14 | 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 | 2019-04-03 | 2019-05-14 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-04-03 | 2019-05-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-04-03 | 2019-05-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-03 | 2019-05-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-04-03 | 2019-05-14 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-03-22 | 2018-05-04 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-03-22 | 2018-05-04 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-03-22 | 2018-05-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-03-22 | 2018-05-04 | 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 | 2018-03-22 | 2018-05-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-22 | 2018-05-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-03-22 | 2018-05-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-03-22 | 2018-05-04 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2018-03-22 | 2018-05-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-03-22 | 2018-05-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-03-22 | 2018-05-04 | N |
