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Deficiency Records for Caring Heights Community Care and Rehab Ctr

View the most recent health deficiencies and inspection results for Caring Heights Community Care and Rehab Ctr. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Caring Heights Community Care and Rehab Ctr. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2025-12-03 2025-12-09 Y
Provide behavior health training consistent with the requirements and as determined by a facility assessment. Health 2025-09-05 2025-10-07 N
Conduct testing and exercise requirements. Fire Safety 2025-09-05 2025-10-07 N
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2025-09-05 2025-10-07 N
Provide training in compliance and ethics. Health 2025-09-05 2025-10-07 N
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. Health 2025-09-05 2025-10-07 N
Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. Health 2025-09-05 2025-10-07 N
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2025-09-05 2025-10-07 N
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. Health 2025-09-05 2025-10-07 N
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Health 2025-09-05 2025-10-07 N
Provide and implement an infection prevention and control program. Health 2025-09-05 2025-10-07 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 2025-09-05 2025-10-07 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2025-09-05 2025-10-07 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 2025-09-05 2025-10-07 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2025-09-05 2025-10-07 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2025-09-05 2025-10-07 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2025-09-05 2025-10-07 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2025-09-05 2025-10-07 N
Provide care or services that was trauma informed and/or culturally competent. Health 2025-09-05 2025-10-07 N
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. Health 2025-09-05 2025-10-07 N
Provide information about how to apply for and use Medicare and Medicaid benefits. Health 2025-09-05 2025-10-07 N
Keep residents' personal and medical records private and confidential. Health 2025-09-05 2025-10-07 N
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 2025-09-05 2025-10-07 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2025-09-05 2025-10-07 N
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Health 2025-09-05 2025-10-07 N
Assess the resident when there is a significant change in condition Health 2025-09-05 2025-10-07 N
Ensure each resident receives an accurate assessment. Health 2025-09-05 2025-10-07 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2025-09-05 2025-10-07 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-09-05 2025-10-07 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 2025-09-05 2025-10-07 N
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Health 2024-10-25 2024-11-26 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-10-25 2024-11-26 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2024-10-25 2024-11-26 N
Ensure each resident receives an accurate assessment. Health 2024-10-25 2024-11-26 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 2024-10-25 2024-11-26 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-10-25 2024-11-26 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-10-25 2024-11-26 N
Provide enough food/fluids to maintain a resident's health. Health 2024-10-25 2024-11-26 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-10-25 2024-11-26 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Health 2024-10-25 2024-11-26 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 2024-10-25 2024-11-26 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 2024-10-25 2024-11-26 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 2024-10-25 2024-11-26 N
Provide or obtain dental services for each resident. Health 2024-10-25 2024-11-26 N
Respond appropriately to all alleged violations. Health 2024-10-25 2024-11-26 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-10-25 2024-11-26 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-10-25 2024-11-26 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 2024-10-25 2024-11-26 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-10-25 2024-11-26 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-10-25 2024-11-26 N
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Health 2024-10-25 2024-11-26 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-10-25 2024-11-26 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 2024-10-25 2024-11-26 N
Provide and implement an infection prevention and control program. Health 2024-10-25 2024-11-26 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-10-25 2024-11-26 N
Provide enough food/fluids to maintain a resident's health. Health 2024-07-25 2024-08-12 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-08-06 2024-08-12 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-06-26 2024-07-23 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-06-26 2024-07-23 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 2024-06-26 2024-07-23 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2024-06-26 2024-07-23 Y
Respond appropriately to all alleged violations. Health 2024-02-21 2024-03-21 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-02-21 2024-03-21 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-02-21 2024-03-21 Y
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. Health 2023-11-09 2023-12-05 N
Respond appropriately to all alleged violations. Health 2023-11-09 2023-12-05 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 2023-11-09 2023-12-05 N
Provide and implement an infection prevention and control program. Health 2023-11-09 2023-12-05 N

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