Deficiency Records for Nightingale Nursing and Rehab Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Nightingale Nursing and Rehab 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-05 | 2023-05-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-05 | 2023-05-23 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2023-04-11 | 2023-05-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-04-11 | 2023-05-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-04-11 | 2023-05-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-11 | 2023-05-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-11 | 2023-05-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-11 | 2023-05-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-11 | 2023-05-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-11 | 2023-05-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-31 | 2023-05-15 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-03-31 | 2023-05-15 | 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 | 2023-03-31 | 2023-05-15 | 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 | 2023-03-31 | 2023-05-15 | 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 | 2023-03-31 | 2023-05-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-31 | 2023-05-15 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-03-31 | 2023-05-15 | 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 | 2022-12-15 | 2023-01-13 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-19 | 2022-06-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-19 | 2022-06-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-04-19 | 2022-06-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-04-19 | 2022-06-01 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-04-19 | 2022-06-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-19 | 2022-06-01 | 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 | 2022-04-14 | 2022-05-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-14 | 2022-05-25 | 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 | 2021-09-21 | 2021-10-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-21 | 2021-10-08 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-06-04 | 2021-07-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-04 | 2021-07-19 | 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 | 2021-06-04 | 2021-07-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-04 | 2021-07-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-04 | 2021-07-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-06-04 | 2021-07-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-07 | 2021-07-12 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-06-07 | 2021-07-12 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-06-07 | 2021-07-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-07 | 2021-07-12 | N |
