Deficiency Records for Minerva Rehabilitation and Nursing Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Minerva Rehabilitation and Nursing 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? |
|---|---|---|---|---|
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2022-04-13 | 2022-05-02 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-04-13 | 2022-05-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-13 | 2022-05-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-13 | 2022-05-02 | 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 | 2022-04-13 | 2022-05-02 | 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 | 2022-04-13 | 2022-05-02 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-04-13 | 2022-05-02 | 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 | 2022-04-05 | 2022-05-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-11 | 2019-05-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-04-11 | 2019-05-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-04-11 | 2019-05-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-04-11 | 2019-05-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-04-11 | 2019-05-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-11 | 2019-05-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-11 | 2019-05-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-04-11 | 2019-05-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-11 | 2019-05-28 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2018-06-07 | 2018-07-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-06-07 | 2018-07-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-06-07 | 2018-07-05 | 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 | 2018-06-07 | 2018-07-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-07 | 2018-07-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-06-05 | 2018-07-05 | N |
