A list of the most recent deficiencies for Norwood Towers Post-Acute. 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 care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-05-25 | 2023-06-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-13 | 2023-01-10 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-06-30 | 2022-07-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-30 | 2022-07-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-30 | 2022-07-15 | Y |
| 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 | 2022-06-30 | 2022-07-15 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-30 | 2022-07-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-30 | 2022-07-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-06 | 2022-05-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-06 | 2022-05-19 | 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 | 2022-05-02 | 2022-05-19 | Y |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-05-02 | 2022-05-19 | 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 | 2022-04-10 | 2022-04-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-06 | 2022-02-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-27 | 2021-12-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-27 | 2021-12-10 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-27 | 2021-12-10 | 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 | 2021-05-26 | 2021-08-24 | 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 | 2021-05-26 | 2021-08-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-26 | 2021-08-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-05-26 | 2021-08-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-05-26 | 2021-08-24 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-05-27 | 2021-08-17 | Y |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2021-05-27 | 2021-08-17 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-05-27 | 2021-08-17 | 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 | 2021-05-27 | 2021-08-17 | Y |
| 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 | 2021-05-27 | 2021-08-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-27 | 2021-08-17 | Y |
| 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 | 2021-05-27 | 2021-08-17 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-05-27 | 2021-08-17 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-05-27 | 2021-08-17 | Y |
| 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 | 2021-05-27 | 2021-08-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-27 | 2021-08-17 | 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 | 2021-08-02 | 2021-08-17 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-08-02 | 2021-08-17 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-08-02 | 2021-08-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-02 | 2021-08-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-02 | 2021-08-17 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-06-10 | 2021-08-17 | 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 | 2021-06-10 | 2021-08-17 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-05-03 | 2021-08-17 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-05-26 | 2021-08-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-26 | 2021-08-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-26 | 2021-08-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-26 | 2021-08-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-26 | 2021-08-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-05-26 | 2021-08-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-26 | 2021-08-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-26 | 2021-08-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-08 | 2021-05-27 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-08 | 2021-05-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-08 | 2021-05-27 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-03-07 | 2019-04-21 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-03-07 | 2019-04-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-03-07 | 2019-04-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-07 | 2019-04-21 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-03-07 | 2019-04-21 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-03-07 | 2019-04-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-07 | 2019-04-21 | 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 | 2019-03-07 | 2019-04-21 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-03-07 | 2019-04-21 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-03-07 | 2019-04-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-03-07 | 2019-04-21 | 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 | 2019-03-07 | 2019-04-21 | N |
| Provide or obtain dental services for each resident. | Health | 2019-03-07 | 2019-04-21 | 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 | 2019-03-07 | 2019-04-21 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-03-07 | 2019-04-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-03-07 | 2019-04-21 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-03-06 | 2019-04-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-03-06 | 2019-04-21 | N |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2019-03-06 | 2019-04-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-06 | 2019-04-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-06 | 2019-04-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-03-06 | 2019-04-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-03-06 | 2019-04-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-03-06 | 2019-04-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-06 | 2019-04-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-06 | 2019-04-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-03-06 | 2019-04-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-05-08 | 2018-07-11 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-05-08 | 2018-07-11 | 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 | 2018-05-08 | 2018-07-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-08 | 2018-07-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-05-08 | 2018-07-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-08 | 2018-07-11 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-05-08 | 2018-07-11 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-05-08 | 2018-07-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-05-08 | 2018-07-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-05-08 | 2018-07-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-05-08 | 2018-07-11 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-05-08 | 2018-07-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-05-08 | 2018-07-11 | 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 | 2018-05-08 | 2018-07-11 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2018-05-08 | 2018-07-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-08 | 2018-07-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-08 | 2018-07-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-05-08 | 2018-07-11 | 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 | 2018-05-10 | 2018-07-11 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-05-10 | 2018-07-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-05-10 | 2018-07-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-05-10 | 2018-07-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-10 | 2018-07-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-10 | 2018-07-11 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-05-10 | 2018-07-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-05-10 | 2018-07-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-05-10 | 2018-07-11 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-05-10 | 2018-07-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-05-10 | 2018-07-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-05-10 | 2018-07-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-05-10 | 2018-07-11 | N |
