Deficiency Records for Holland Center For Rehabilitation and Nursing
Updated as of March 01, 2024
A list of the most recent deficiencies for Holland Center For Rehabilitation and Nursing. 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? |
|---|---|---|---|---|
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-10-16 | 2023-12-20 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-10-16 | 2023-11-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-16 | 2023-11-24 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-10-16 | 2023-11-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-16 | 2023-11-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-16 | 2023-11-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-05 | 2023-11-07 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-10-05 | 2023-11-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-05 | 2023-11-07 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-05 | 2023-11-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-05 | 2023-11-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-10-05 | 2023-11-07 | 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 | 2023-10-05 | 2023-11-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-05 | 2023-11-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-05 | 2023-11-07 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2023-07-28 | 2023-08-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-28 | 2023-08-14 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-07-17 | 2023-08-11 | 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 | 2022-12-15 | 2023-01-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-15 | 2023-01-25 | N |
| Meet other general requirements. | Fire Safety | 2022-12-29 | 2023-01-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-29 | 2023-01-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-29 | 2023-01-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-29 | 2023-01-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-29 | 2023-01-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-29 | 2023-01-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-29 | 2023-01-25 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-01-13 | 2022-02-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-13 | 2022-02-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-13 | 2022-02-09 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2021-12-29 | 2022-02-02 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-12-29 | 2022-02-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-29 | 2022-02-02 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-12-29 | 2022-02-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-05 | 2021-08-05 | Y |
