Deficiency Records for Abundant Christian Living Community Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Abundant Christian Living Community Rehabilitation. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2022-06-14 | 2022-07-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-14 | 2022-07-08 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-10-06 | 2021-10-29 | 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 | 2019-06-12 | 2019-07-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-12 | 2019-07-25 | 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 | 2019-06-12 | 2019-07-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-10 | 2019-07-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-10 | 2019-07-09 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2019-06-10 | 2019-06-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-10 | 2019-06-24 | 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 | 2019-06-10 | 2019-06-14 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-07-10 | 2018-08-10 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2018-07-10 | 2018-08-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-07-10 | 2018-08-10 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-07-10 | 2018-08-10 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-07-10 | 2018-08-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-07-12 | 2018-08-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-07-12 | 2018-08-01 | 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 | 2018-07-12 | 2018-08-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-07-12 | 2018-08-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-07-12 | 2018-08-01 | 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 | 2018-07-12 | 2018-08-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-07-12 | 2018-08-01 | N |
