Deficiency Records for Centerville Care and Rehab Center Inc
Updated as of March 01, 2024
A list of the most recent deficiencies for Centerville Care and Rehab Center Inc. 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? |
|---|---|---|---|---|
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-13 | 2023-05-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-15 | 2023-04-24 | 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 | 2023-03-15 | 2023-04-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-15 | 2023-04-24 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-03-15 | 2023-04-24 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-03-15 | 2023-04-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-15 | 2023-04-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-15 | 2023-04-12 | 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 | 2021-10-19 | 2021-11-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-19 | 2021-11-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-19 | 2021-11-18 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2021-10-20 | 2021-11-11 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-10-20 | 2021-11-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-10-20 | 2021-11-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-20 | 2021-11-11 | N |
| Respond appropriately to all alleged violations. | Health | 2021-10-20 | 2021-11-11 | 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 | 2021-10-20 | 2021-11-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-10-20 | 2021-11-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-20 | 2021-11-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-20 | 2021-11-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-20 | 2021-11-11 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-10-20 | 2021-11-11 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-10-20 | 2021-11-11 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2021-10-20 | 2021-11-11 | N |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2021-10-20 | 2021-11-11 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-10-20 | 2021-11-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-20 | 2021-11-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-10-20 | 2021-11-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-10-20 | 2021-11-11 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-10-20 | 2021-11-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-08-07 | 2019-09-26 | 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 | 2019-08-07 | 2019-09-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-07 | 2019-09-26 | 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 | 2019-08-07 | 2019-09-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-07 | 2019-09-26 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-08-07 | 2019-09-26 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2019-08-07 | 2019-09-26 | N |
