A list of the most recent deficiencies for La Grande Post Acute Rehabilitation. 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? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-10-06 | 2023-11-17 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-10-06 | 2023-11-17 | 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 | 2023-10-06 | 2023-11-17 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-10-06 | 2023-11-17 | 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 | 2023-10-06 | 2023-11-17 | N |
| Provide activities to meet all resident's needs. | Health | 2023-10-06 | 2023-11-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-06 | 2023-11-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-06 | 2023-11-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-06 | 2023-11-17 | 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 | 2023-10-06 | 2023-11-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-06 | 2023-11-17 | N |
| Ensure resident rooms meet each resident's needs. | Health | 2023-10-06 | 2023-11-17 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-10-11 | 2023-11-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-11 | 2023-11-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-11 | 2023-11-17 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-10-21 | 2022-11-18 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-10-21 | 2022-11-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-21 | 2022-11-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-21 | 2022-11-18 | 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 | 2022-10-21 | 2022-11-18 | N |
| Provide or obtain dental services for each resident. | Health | 2022-10-21 | 2022-11-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-21 | 2022-11-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-21 | 2022-11-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-21 | 2022-11-18 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2022-10-19 | 2022-11-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-19 | 2022-11-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-10 | 2022-03-17 | 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 | 2018-08-17 | 2018-09-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-17 | 2018-09-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-08-17 | 2018-09-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-17 | 2018-09-21 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-08-08 | 2018-09-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-08-08 | 2018-09-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-08-08 | 2018-09-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-08-08 | 2018-09-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-08-08 | 2018-09-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-08 | 2018-09-21 | N |
