Deficiency Records for Havencrest Healthcare and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Havencrest Healthcare and 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-26 | 2024-03-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-01-26 | 2024-03-05 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-01-22 | 2024-02-20 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-01-22 | 2024-02-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-01-22 | 2024-02-20 | 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 | 2024-01-22 | 2024-02-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-01-22 | 2024-02-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-01-22 | 2024-02-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-22 | 2024-02-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-22 | 2024-02-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-22 | 2024-02-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-22 | 2024-02-20 | 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 | 2023-03-24 | 2023-04-25 | 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 | 2023-03-24 | 2023-04-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-24 | 2023-04-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-18 | 2022-04-19 | 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 | 2022-03-18 | 2022-04-19 | N |
| Provide activities to meet all resident's needs. | Health | 2022-03-18 | 2022-04-19 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2022-03-18 | 2022-04-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-03-18 | 2022-04-19 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-16 | 2022-04-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-04 | 2021-05-27 | Y |
