Deficiency Records for Casselman Healthcare and Rehabilitation Center
Updated as of June 01, 2023
This is not the most recent data for Casselman Healthcare and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Casselman 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? |
|---|---|---|---|---|
| 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 | 2023-03-22 | 2023-04-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-22 | 2023-04-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-22 | 2023-04-28 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-09-20 | 2022-11-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-20 | 2022-11-02 | 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 | 2022-09-20 | 2022-11-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-20 | 2022-11-02 | 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 | 2022-09-20 | 2022-11-02 | 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 | 2022-09-20 | 2022-11-02 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2022-09-20 | 2022-11-02 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-09-20 | 2022-11-02 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-09-20 | 2022-11-02 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-09-20 | 2022-11-02 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-09-20 | 2022-11-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-20 | 2022-11-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-22 | 2022-11-02 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-09-22 | 2022-11-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-09-22 | 2022-11-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-22 | 2022-11-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-09-22 | 2022-11-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-22 | 2022-11-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-09-22 | 2022-11-02 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-09-22 | 2022-11-02 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-09-22 | 2022-11-02 | 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 | 2022-08-12 | 2022-09-14 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-08-12 | 2022-09-14 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-10-15 | 2021-11-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-15 | 2021-11-11 | 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 | 2021-10-15 | 2021-11-11 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-10-15 | 2021-11-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-15 | 2021-11-11 | 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 | 2021-10-15 | 2021-11-11 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-10-15 | 2021-11-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-15 | 2021-11-11 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-10-15 | 2021-11-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-15 | 2021-11-11 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-10-15 | 2021-11-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-16 | 2021-09-15 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-08-16 | 2021-09-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-01-19 | 2021-02-10 | Y |
| 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 | 2021-01-19 | 2021-02-10 | Y |
| 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 | 2021-01-19 | 2021-02-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-01-19 | 2021-02-10 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2020-12-29 | 2021-01-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-11-10 | 2020-12-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-11-04 | 2020-12-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-07-11 | 2020-08-18 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-20 | 2020-02-12 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-12-20 | 2020-02-12 | 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 | 2019-12-20 | 2020-02-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-12-20 | 2020-02-12 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-12-20 | 2020-02-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-20 | 2020-02-12 | 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 | 2019-12-20 | 2020-02-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-20 | 2020-02-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-20 | 2020-02-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-20 | 2020-02-12 | 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 | 2019-12-20 | 2020-02-12 | 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 | 2019-12-20 | 2020-02-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-12-20 | 2020-02-12 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-12-20 | 2020-02-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-12-20 | 2020-02-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-12-20 | 2020-02-12 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-12-20 | 2020-02-12 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-12-20 | 2020-02-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-20 | 2020-02-12 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-12-18 | 2020-01-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-18 | 2020-01-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-18 | 2020-01-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-12-18 | 2020-01-16 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-12-18 | 2020-01-16 | N |
