Deficiency Records for Liberty Center For Rehabilitation and Nursing
Updated as of April 01, 2024
A list of the most recent deficiencies for Liberty Center For Rehabilitation and Nursing. 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 that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-11-20 | 2024-01-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-20 | 2024-01-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-20 | 2024-01-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-11-20 | 2024-01-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-20 | 2024-01-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-20 | 2024-01-09 | 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 | 2023-10-13 | 2023-12-06 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-10-13 | 2023-12-06 | 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 | 2023-10-13 | 2023-12-06 | 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 | 2023-10-13 | 2023-12-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-10-13 | 2023-12-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-10-13 | 2023-12-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-13 | 2023-12-06 | N |
| Provide appropriate foot care. | Health | 2023-10-13 | 2023-12-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-13 | 2023-12-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-13 | 2023-12-06 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-12-21 | 2023-01-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-21 | 2023-01-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-21 | 2023-01-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-21 | 2023-01-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-21 | 2023-01-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-15 | 2023-01-17 | 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 | 2022-12-15 | 2023-01-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-15 | 2023-01-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-15 | 2023-01-17 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-15 | 2023-01-17 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-15 | 2023-01-17 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-12-15 | 2023-01-17 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-12-15 | 2023-01-17 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-12-15 | 2023-01-17 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-12-15 | 2023-01-17 | Y |
| 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 | 2022-06-29 | 2022-07-19 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-06-29 | 2022-07-19 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-10 | 2022-05-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-10 | 2022-05-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-10 | 2022-05-09 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-03-10 | 2022-04-29 | N |
| Meet other general requirements. | Fire Safety | 2022-03-10 | 2022-04-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-10 | 2022-04-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-03-10 | 2022-04-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-10 | 2022-04-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-10 | 2022-04-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-10 | 2022-04-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-10 | 2022-04-07 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-03-10 | 2022-04-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-03-10 | 2022-04-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-10 | 2022-04-07 | 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 | 2022-01-27 | 2022-02-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-27 | 2022-02-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-27 | 2022-02-14 | N |
| Post nurse staffing information every day. | Health | 2022-01-27 | 2022-02-14 | 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 | 2022-01-27 | 2022-02-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-27 | 2022-02-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-01-04 | 2022-02-10 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-01-04 | 2022-02-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-18 | 2021-12-25 | 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 | 2021-08-28 | 2021-09-24 | 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 | 2021-04-06 | 2021-05-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-04-06 | 2021-05-18 | Y |
