Deficiency Records for New Lebanon Rehabilitation and Healthcare Center
Updated as of April 01, 2024
A list of the most recent deficiencies for New Lebanon Rehabilitation and Healthcare Center. 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 treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-17 | 2024-01-31 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-04-17 | 2023-04-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-10 | 2023-03-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-10 | 2023-03-01 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-13 | 2022-11-23 | 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 | 2022-10-13 | 2022-11-23 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-10-13 | 2022-11-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-10-13 | 2022-11-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-13 | 2022-11-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-13 | 2022-11-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-13 | 2022-11-23 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2022-10-13 | 2022-11-23 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-10-13 | 2022-11-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-04 | 2022-11-23 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-10-03 | 2022-11-23 | 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 | 2022-10-03 | 2022-11-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-03 | 2022-11-23 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-10-03 | 2022-11-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-03 | 2022-11-23 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-10-03 | 2022-11-23 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-10-03 | 2022-11-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-10-03 | 2022-11-23 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-10-03 | 2022-11-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-03 | 2022-11-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-03 | 2022-11-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-06 | 2022-07-25 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-06 | 2022-07-25 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-06 | 2022-07-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-07-06 | 2022-07-25 | Y |
| 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 | 2022-03-24 | 2022-04-19 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-24 | 2022-04-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-24 | 2022-04-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-24 | 2022-04-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-24 | 2022-04-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-24 | 2022-04-19 | Y |
| Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2022-03-24 | 2022-04-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-24 | 2022-04-19 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-03-24 | 2022-04-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-24 | 2021-10-14 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-12-12 | 2019-12-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-12-12 | 2019-12-27 | 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 | 2018-12-13 | N |
| Provide or obtain dental services for each resident. | Health | 2018-11-01 | 2018-12-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-01 | 2018-12-13 | 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 | 2018-10-31 | 2018-12-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-10-31 | 2018-12-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-10-31 | 2018-12-13 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2018-10-31 | 2018-12-13 | N |
