Deficiency Records for Siena Gardens Rehabilitation and Transitional Care
Updated as of March 01, 2024
A list of the most recent deficiencies for Siena Gardens Rehabilitation and Transitional Care. 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? |
|---|---|---|---|---|
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-05 | 2023-01-20 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-10-06 | 2022-10-19 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-10-06 | 2022-10-19 | 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 | 2022-10-05 | 2022-10-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-10-05 | 2022-10-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-10-05 | 2022-10-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-05 | 2022-10-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-03-17 | 2021-03-18 | 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 | 2021-03-17 | 2021-03-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-10-03 | 2019-10-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-10-03 | 2019-10-25 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-10-03 | 2019-10-25 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-10-03 | 2019-10-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-03 | 2019-10-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-03 | 2019-10-25 | 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 | 2019-10-03 | 2019-10-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-03 | 2019-10-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-10-01 | 2019-10-25 | N |
