Deficiency Records for Cityview Healthcare and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Cityview Healthcare and Rehabilitation. 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-01-26 | 2024-02-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-26 | 2024-02-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-26 | 2024-02-07 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-26 | 2024-02-07 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-01-26 | 2024-02-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-26 | 2024-02-07 | Y |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-01-26 | 2024-02-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-26 | 2024-02-07 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-01-26 | 2024-01-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-18 | 2023-09-19 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-08-09 | 2023-08-25 | Y |
| Provide appropriate foot care. | Health | 2023-08-09 | 2023-08-25 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-08-09 | 2023-08-25 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-08-09 | 2023-08-25 | Y |
| Provide or obtain dental services for each resident. | Health | 2022-11-03 | 2022-12-28 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-11-03 | 2022-12-28 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-11-03 | 2022-12-28 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-11-04 | 2022-12-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-04 | 2022-12-28 | 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 | 2022-11-04 | 2022-12-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-04 | 2022-12-28 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-11-04 | 2022-12-28 | 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 | 2022-11-04 | 2022-12-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-04 | 2022-12-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-04 | 2022-12-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-04 | 2022-12-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-11-04 | 2022-12-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-04 | 2022-12-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-11-04 | 2022-12-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-04 | 2022-12-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-11-04 | 2022-12-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-04 | 2022-12-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-11-04 | 2022-12-28 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-23 | 2022-02-28 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-02-23 | 2022-02-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-11 | 2022-02-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-11 | 2022-02-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-11 | 2022-02-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-11 | 2022-02-28 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-01-11 | 2022-02-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-11 | 2022-02-28 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-11 | 2022-02-28 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-01-11 | 2022-02-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-01-11 | 2022-02-28 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-01-11 | 2022-02-28 | 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 | 2021-12-02 | 2022-02-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-02 | 2022-02-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-27 | 2022-02-28 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-10-05 | 2022-02-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-05 | 2022-02-28 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2021-10-05 | 2022-02-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-05 | 2022-02-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-03-19 | 2021-04-09 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-03-19 | 2021-04-09 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2021-03-19 | 2021-04-09 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-03-19 | 2021-04-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-18 | 2020-02-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-12-18 | 2020-02-03 | 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 | 2019-12-18 | 2020-02-03 | 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 | 2019-12-18 | 2020-02-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-18 | 2020-02-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-12-18 | 2020-02-03 | 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 | 2019-12-18 | 2020-02-03 | 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 | 2019-12-18 | 2020-02-03 | 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 | 2019-12-18 | 2020-02-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-18 | 2020-02-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-18 | 2020-02-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-12-18 | 2020-02-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-12-17 | 2020-02-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-17 | 2020-02-03 | 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 | 2019-12-17 | 2020-02-03 | 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 | 2019-12-17 | 2020-02-03 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-12-17 | 2020-02-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-17 | 2020-02-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-17 | 2020-02-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-17 | 2020-02-03 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-12-17 | 2020-02-03 | 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 | 2019-12-17 | 2020-02-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-12-17 | 2020-02-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-12-17 | 2020-02-03 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-12-17 | 2020-02-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-17 | 2020-02-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-11-01 | 2018-11-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-01 | 2018-11-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-01 | 2018-11-23 | 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 | 2018-11-01 | 2018-11-23 | 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 | 2018-11-01 | 2018-11-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-11-01 | 2018-11-23 | 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 | 2018-11-01 | 2018-11-23 | 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 | 2018-11-01 | 2018-11-23 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2018-11-01 | 2018-11-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-01 | 2018-11-23 | N |
