Deficiency Records for Warren Nursing and Rehab
Updated as of August 01, 2024
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Deficiency Records for Warren Nursing and Rehab
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.
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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-01 | 2024-05-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-11 | 2024-05-09 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-04-11 | 2024-05-09 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-04-11 | 2024-05-09 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2024-04-11 | 2024-05-09 | 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 | 2024-04-11 | 2024-05-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-04-11 | 2024-05-09 | 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 | 2024-04-11 | 2024-05-09 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-04-11 | 2024-05-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-11 | 2024-05-09 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-04-11 | 2024-05-09 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-04-11 | 2024-05-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-11 | 2024-05-09 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-04-11 | 2024-05-09 | N |
| Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | Health | 2024-04-11 | 2024-05-09 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-04-11 | 2024-05-09 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-04-11 | 2024-05-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-11 | 2024-05-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-11 | 2024-05-09 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-04-11 | 2024-05-09 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-04-11 | 2024-05-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-04-11 | 2024-05-09 | 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 | 2024-04-11 | 2024-05-09 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-04-11 | 2024-05-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-04-11 | 2024-05-09 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-04-11 | 2024-05-09 | 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 | 2024-04-11 | 2024-05-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-11 | 2024-05-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-11 | 2024-05-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-04-11 | 2024-05-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-11 | 2024-05-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-04-11 | 2024-05-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-11 | 2024-05-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-04-11 | 2024-05-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-04-11 | 2024-05-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-04-11 | 2024-05-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-11 | 2024-05-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-04-11 | 2024-05-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-04-11 | 2024-05-09 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-04-11 | 2024-05-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-04-11 | 2024-05-09 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2024-04-11 | 2024-05-09 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-04-11 | 2024-05-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-11 | 2024-05-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-11 | 2024-05-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-11 | 2024-05-09 | N |
| 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 |
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