A list of the most recent deficiencies for Julia Ribaudo Extended Care 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? |
|---|---|---|---|---|
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-01-18 | 2024-02-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-18 | 2024-02-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-18 | 2024-02-21 | Y |
| Provide appropriate foot care. | Health | 2024-01-18 | 2024-02-21 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-20 | 2024-01-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-20 | 2024-01-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-20 | 2024-01-18 | Y |
| Post nurse staffing information every day. | Health | 2023-12-20 | 2024-01-18 | 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 | 2023-11-15 | 2024-01-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-15 | 2024-01-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-15 | 2024-01-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-15 | 2024-01-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-03 | 2023-12-20 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-11-03 | 2023-12-20 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-11-03 | 2023-12-20 | 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 | 2023-11-03 | 2023-12-20 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-11-03 | 2023-12-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-03 | 2023-11-03 | 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 | 2022-12-21 | 2023-01-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-21 | 2023-01-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-12-21 | 2023-01-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-21 | 2023-01-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-21 | 2023-01-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-09 | 2023-01-10 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-12-09 | 2023-01-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-09 | 2023-01-10 | 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 | 2022-12-09 | 2023-01-10 | 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 | 2022-12-09 | 2023-01-10 | N |
| Provide or obtain dental services for each resident. | Health | 2022-12-09 | 2023-01-10 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-12-09 | 2023-01-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-22 | 2022-04-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-22 | 2022-04-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-02-22 | 2022-04-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-22 | 2022-04-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-02-18 | 2022-04-05 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-02-18 | 2022-04-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-18 | 2022-04-05 | N |
| Provide activities to meet all resident's needs. | Health | 2022-02-18 | 2022-04-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-18 | 2022-04-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-18 | 2022-04-05 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-02-18 | 2022-04-05 | 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 | 2022-02-18 | 2022-04-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-02-18 | 2022-04-05 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-02-18 | 2022-04-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-18 | 2022-02-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-21 | 2021-11-30 | Y |
| 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 | 2021-10-21 | 2021-11-30 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-10-21 | 2021-11-30 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-10-21 | 2021-11-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-21 | 2021-11-30 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-10-21 | 2021-11-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-03-12 | 2021-04-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-27 | Not Fixed | Y |
