Deficiency Records for El Reno Post-Acute Rehabilitation Center

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Updated as of August 01, 2024

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Deficiency Records for El Reno Post-Acute Rehabilitation Center

A list of the most recent deficiencies for El Reno Post-Acute Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for El Reno Post-Acute Rehabilitation 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?
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-05-23 2024-07-08 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-05-23 2024-07-08 N
Ensure each resident receives an accurate assessment. Health 2024-05-23 2024-07-08 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 2024-05-23 2024-07-08 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-05-23 2024-07-08 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2023-11-03 2023-12-27 Y
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2023-11-03 2023-12-27 Y
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Health 2023-11-03 2023-12-27 Y
Assess the resident when there is a significant change in condition Health 2023-04-03 2023-06-14 N
Ensure each resident receives an accurate assessment. Health 2023-04-03 2023-06-14 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-04-03 2023-06-14 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2023-04-03 2023-06-14 N
Have exits that are accessible at all times. Fire Safety 2023-05-31 2023-06-14 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 2023-05-31 2023-06-14 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-05-31 2023-06-14 N
Provide and implement an infection prevention and control program. Health 2023-02-07 2023-02-20 Y
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2021-08-04 2021-09-27 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-08-04 2021-09-27 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2019-09-04 2019-10-16 N
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 2019-09-10 2019-10-04 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2019-09-10 2019-10-04 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 2019-09-10 2019-10-04 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2019-09-10 2019-10-04 N
Ensure each resident receives an accurate assessment. Health 2019-09-10 2019-10-04 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2019-09-10 2019-10-04 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-09-10 2019-10-04 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-09-10 2019-10-04 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 2019-09-10 2019-10-04 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2019-09-10 2019-10-04 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 2019-09-10 2019-10-04 N
Provide and implement an infection prevention and control program. Health 2019-09-10 2019-10-04 N
Meet other general requirements that are deficient. Fire Safety 2019-09-04 2019-09-28 N
Provide properly protected cooking facilities. Fire Safety 2019-09-04 2019-09-28 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-09-04 2019-09-28 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2019-09-04 2019-09-28 N

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