A list of the most recent deficiencies for Deer Meadows 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-13 | 2023-06-05 | 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 | 2023-04-13 | 2023-06-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-13 | 2023-06-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-04-13 | 2023-06-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-13 | 2023-06-05 | 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 | 2023-04-13 | 2023-06-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-13 | 2023-06-05 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-04-13 | 2023-06-05 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-04-13 | 2023-06-05 | 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 | 2023-04-13 | 2023-06-05 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-04-13 | 2023-06-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-13 | 2023-06-05 | N |
| Keep all essential equipment working safely. | Health | 2023-04-13 | 2023-06-05 | N |
| Meet other general requirements. | Fire Safety | 2023-04-17 | 2023-05-29 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-04-17 | 2023-05-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-17 | 2023-05-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-04-17 | 2023-05-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-17 | 2023-05-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-04-17 | 2023-05-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-08 | 2023-03-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-08 | 2023-03-27 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-03-08 | 2023-03-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-08 | 2023-03-13 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-01-18 | 2023-02-27 | Y |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-06-23 | 2022-08-22 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2022-06-23 | 2022-08-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-23 | 2022-08-22 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-06-23 | 2022-08-22 | 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 | 2022-06-23 | 2022-08-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-23 | 2022-08-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-23 | 2022-08-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-23 | 2022-08-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-23 | 2022-08-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-23 | 2022-08-22 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2022-06-23 | 2022-08-22 | 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 | 2022-06-06 | 2022-07-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-06 | 2022-07-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-06-06 | 2022-07-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-06-06 | 2022-07-25 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-01-29 | 2022-02-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-18 | 2021-12-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-18 | 2021-12-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-10 | 2021-10-24 | 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 | 2021-09-10 | 2021-10-24 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-09-10 | 2021-10-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-10 | 2021-10-24 | Y |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2021-04-02 | 2021-04-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-02 | 2021-04-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-02 | 2021-04-23 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-04-02 | 2021-04-23 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2021-03-30 | 2021-04-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-03-30 | 2021-04-20 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-03-30 | 2021-04-20 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2021-03-30 | 2021-04-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-30 | 2021-04-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-03-30 | 2021-04-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-03-30 | 2021-04-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-03-30 | 2021-04-20 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-03-30 | 2021-04-20 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2021-03-30 | 2021-04-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-03-30 | 2021-04-20 | N |
