Deficiency Records for New Dawn Rehabilitation and Healthcare Center
Updated as of April 01, 2024
A list of the most recent deficiencies for New Dawn 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 | 2023-05-02 | 2023-05-16 | 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 | 2023-05-02 | 2023-05-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-11 | 2023-04-13 | 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 | 2023-03-20 | 2023-03-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-20 | 2023-03-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-20 | 2023-03-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-20 | 2023-03-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-20 | 2023-03-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-20 | 2023-03-30 | 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 | 2023-03-20 | 2023-03-30 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-03-20 | 2023-03-30 | 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 | 2023-03-13 | 2023-03-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-13 | 2023-03-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-13 | 2023-03-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-13 | 2023-03-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-13 | 2023-03-30 | N |
| Have an externally vented heating system. | Fire Safety | 2023-03-13 | 2023-03-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-13 | 2023-03-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-13 | 2023-03-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-13 | 2023-03-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-23 | 2022-03-29 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-02-25 | 2022-03-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-27 | 2022-01-31 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-01-27 | 2022-01-31 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2021-12-21 | 2021-12-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-14 | 2021-09-29 | 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 | 2021-05-06 | 2021-08-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-06 | 2021-08-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-06 | 2021-07-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-06 | 2021-07-21 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-05-06 | 2021-07-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-05-06 | 2021-07-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-05-06 | 2021-07-12 | 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 | 2021-05-06 | 2021-07-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-06 | 2021-07-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-06 | 2021-07-12 | 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 | 2021-05-06 | 2021-07-12 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-05-06 | 2021-07-12 | 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 | 2021-05-06 | 2021-07-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-06 | 2021-07-12 | 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 | 2021-05-06 | 2021-07-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-06 | 2021-07-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-06 | 2021-07-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-24 | 2021-07-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-24 | 2021-07-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-06-24 | 2021-07-12 | Y |
| Meet other general requirements. | Fire Safety | 2021-05-06 | 2021-07-08 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2021-05-06 | 2021-07-08 | 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 | 2021-05-06 | 2021-07-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-05-06 | 2021-07-08 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-05-06 | 2021-07-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-06 | 2021-07-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-06 | 2021-07-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-06 | 2021-07-08 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2021-04-12 | 2021-05-06 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-02-28 | 2019-04-05 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-02-28 | 2019-04-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-02-28 | 2019-04-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-28 | 2019-04-05 | 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 | 2019-02-28 | 2019-04-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-28 | 2019-04-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-28 | 2019-04-05 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-02-28 | 2019-04-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-28 | 2019-04-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-02-28 | 2019-04-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-02-25 | 2019-04-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-02-25 | 2019-04-05 | N |
