Deficiency Records for Physical Rehabilitation and Wellness Center of Spa
Updated as of March 01, 2024
A list of the most recent deficiencies for Physical Rehabilitation and Wellness Center of Spa. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-22 | 2023-04-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-22 | 2023-03-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-30 | 2023-02-08 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-01-30 | 2023-02-08 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-19 | 2023-01-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-23 | 2022-11-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-22 | 2022-11-24 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-09-22 | 2022-10-20 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-09-22 | 2022-10-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-22 | 2022-10-20 | 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 | 2022-09-22 | 2022-10-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-09-22 | 2022-10-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-22 | 2022-10-20 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-20 | 2022-10-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-09-20 | 2022-10-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-22 | 2022-10-10 | N |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2022-04-06 | 2022-04-22 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-04 | 2021-11-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-04 | 2021-11-30 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-11-04 | 2021-11-30 | 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 | 2021-11-04 | 2021-11-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-04 | 2021-11-30 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-11-04 | 2021-11-30 | 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 | 2021-11-04 | 2021-11-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-04 | 2021-11-30 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-11-02 | 2021-11-30 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-11-02 | 2021-11-30 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2021-11-02 | 2021-11-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-02 | 2021-11-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-27 | 2021-06-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-27 | 2021-06-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-23 | 2021-05-21 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2019-12-19 | 2020-01-20 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-12-19 | 2020-01-20 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-12-19 | 2020-01-20 | N |
| Respond appropriately to all alleged violations. | Health | 2019-12-19 | 2020-01-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-19 | 2020-01-20 | 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 | 2019-12-19 | 2020-01-20 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-12-19 | 2020-01-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-19 | 2020-01-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-19 | 2020-01-20 | N |
