CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Ivy Hill Post Acute Nursing and Rehabilitation LLC
View the most recent health deficiencies and inspection results for Ivy Hill Post Acute Nursing and Rehabilitation LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Ivy Hill Post Acute Nursing and Rehabilitation LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have properly located and lighted "Exit" signs. | Fire Safety | 2026-03-12 | 2026-05-05 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2026-03-12 | 2026-05-05 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2026-03-12 | 2026-05-05 | 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 | 2026-03-12 | 2026-05-05 | 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 | 2026-03-12 | 2026-05-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-12 | 2026-05-05 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2026-03-12 | 2026-05-05 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2026-03-12 | 2026-05-05 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2026-03-12 | 2026-05-05 | 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 | 2026-03-12 | 2026-05-05 | 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 | 2026-03-12 | 2026-05-05 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2026-03-12 | 2026-05-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-03-25 | 2026-05-05 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2026-03-12 | 2026-05-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-03-12 | 2026-05-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2026-03-12 | 2026-05-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-03-12 | 2026-05-05 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2026-03-12 | 2026-05-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2026-03-12 | 2026-05-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-03-28 | 2025-05-17 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2025-03-28 | 2025-05-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-03-28 | 2025-05-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-03-28 | 2025-05-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-03-28 | 2025-05-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-03-28 | 2025-05-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-03-28 | 2025-05-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-03-28 | 2025-05-17 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-03-28 | 2025-05-13 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-03-28 | 2025-05-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-28 | 2025-05-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-28 | 2025-05-13 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-03-28 | 2025-05-13 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-03-28 | 2025-05-13 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-03-28 | 2025-05-13 | Y |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-03-28 | 2025-05-13 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-03-28 | 2025-05-13 | Y |
| 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 | 2025-03-28 | 2025-05-13 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-03-28 | 2025-05-13 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2025-03-28 | 2025-05-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-03-28 | 2025-05-13 | 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 | 2025-03-28 | 2025-05-13 | 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 | 2025-03-28 | 2025-05-13 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-03-28 | 2025-05-13 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-03-28 | 2025-05-13 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-13 | 2024-08-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-06-13 | 2024-08-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-13 | 2024-07-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-13 | 2024-07-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-06-13 | 2024-07-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-13 | 2024-07-18 | N |
| Provide or obtain dental services for each resident. | Health | 2024-06-13 | 2024-07-12 | Y |
| Keep all essential equipment working safely. | Health | 2024-06-13 | 2024-07-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-13 | 2024-07-12 | 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 | 2024-06-13 | 2024-07-12 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-06-13 | 2024-07-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-06-13 | 2024-07-12 | 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 | 2024-06-13 | 2024-07-12 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-06-13 | 2024-07-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-13 | 2024-07-12 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-06-13 | 2024-07-12 | 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 | 2024-06-13 | 2024-07-12 | N |
| 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 | 2023-11-01 | 2023-11-28 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-11-01 | 2023-11-28 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-11-01 | 2023-11-28 | 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 | 2023-08-17 | 2023-09-12 | Y |
| 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 | 2023-08-17 | 2023-09-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-27 | 2023-08-29 | Y |
| Assess the resident when there is a significant change in condition | Health | 2023-07-27 | 2023-08-29 | Y |