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Deficiency Records for Letort Spring Nursing and Rehab LLC
View the most recent health deficiencies and inspection results for Letort Spring Nursing and Rehab LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Letort Spring Nursing and Rehab LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-02-11 | 2026-03-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-02-11 | 2026-03-26 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-02-11 | 2026-03-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2026-03-23 | 2026-03-18 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2026-02-11 | 2026-03-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-02-11 | 2026-03-17 | 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 | 2026-02-11 | 2026-03-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2026-02-11 | 2026-03-17 | 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 | 2026-02-11 | 2026-03-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2026-02-11 | 2026-03-17 | 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 | 2026-02-11 | 2026-03-17 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2026-02-11 | 2026-03-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-02-11 | 2026-03-17 | 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 | 2026-02-11 | 2026-03-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2026-02-11 | 2026-03-17 | 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 | 2026-02-11 | 2026-03-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2026-02-11 | 2026-03-17 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2026-02-11 | 2026-03-17 | 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 | 2026-02-11 | 2026-03-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-01-29 | 2026-02-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-01-29 | 2026-02-05 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-26 | 2026-01-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-26 | 2026-01-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-24 | 2025-04-22 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-02-06 | 2025-03-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-06 | 2025-03-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-02-06 | 2025-03-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-02-06 | 2025-03-14 | 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 | 2025-02-06 | 2025-03-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-02-06 | 2025-03-14 | 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 | 2025-02-06 | 2025-03-14 | 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 | 2025-02-06 | 2025-03-14 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2025-02-06 | 2025-03-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-06 | 2025-03-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-06 | 2025-03-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-02-06 | 2025-03-14 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-02-06 | 2025-03-14 | N |
| Meet other general requirements. | Fire Safety | 2025-02-06 | 2025-03-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-25 | 2024-12-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-25 | 2024-12-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-11-25 | 2024-12-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-30 | 2024-08-23 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-03-21 | 2024-04-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-21 | 2024-04-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-21 | 2024-04-18 | 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 | 2024-03-21 | 2024-04-18 | 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 | 2024-03-21 | 2024-04-18 | 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 | 2024-03-21 | 2024-04-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-21 | 2024-04-18 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-03-21 | 2024-04-18 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-03-21 | 2024-04-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-21 | 2024-04-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-21 | 2024-04-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-21 | 2024-04-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-21 | 2024-04-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-21 | 2024-04-18 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-03-21 | 2024-04-18 | 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 | 2024-03-21 | 2024-04-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-21 | 2024-04-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-03-21 | 2024-04-18 | N |
| Meet other general requirements. | Fire Safety | 2024-03-21 | 2024-03-31 | 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 | 2023-04-05 | 2023-06-17 | N |
| Use approved construction type or materials. | Fire Safety | 2023-04-05 | 2023-06-17 | N |
| Meet other general requirements. | Fire Safety | 2023-04-05 | 2023-06-17 | N |