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Deficiency Records for Collierville Nursing and Rehabilitation, LLC
View the most recent health deficiencies and inspection results for Collierville Nursing and Rehabilitation, LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Collierville Nursing and Rehabilitation, LLC. Stay informed about quality of care issues.
| 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 | 2026-02-13 | 2026-02-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-11-18 | 2025-11-21 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-02-25 | 2022-04-27 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-02-25 | 2022-04-27 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2022-02-25 | 2022-04-27 | 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 | 2022-02-25 | 2022-04-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-25 | 2022-04-01 | N |
| Provide or obtain dental services for each resident. | Health | 2022-02-25 | 2022-04-01 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-02-25 | 2022-04-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-25 | 2022-04-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-25 | 2022-04-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-02-25 | 2022-04-01 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-02-25 | 2022-04-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-11 | 2020-01-25 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2019-12-11 | 2020-01-25 | 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 | 2019-12-11 | 2020-01-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-12-11 | 2020-01-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-11 | 2020-01-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-12-11 | 2020-01-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-11 | 2020-01-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-12-11 | 2020-01-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-11 | 2020-01-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-12-11 | 2020-01-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-12-11 | 2020-01-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-11 | 2020-01-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-12-11 | 2020-01-25 | 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 | 2019-12-11 | 2020-01-04 | 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 | 2019-12-11 | 2020-01-04 | 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 | 2019-12-11 | 2020-01-04 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-12-11 | 2020-01-04 | N |
| Provide activities to meet all resident's needs. | Health | 2019-12-11 | 2020-01-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-11 | 2020-01-04 | 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 | 2019-12-11 | 2020-01-04 | 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 | 2019-12-11 | 2020-01-04 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-12-11 | 2020-01-04 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-12-11 | 2020-01-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-11 | 2020-01-04 | 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 | 2019-12-11 | 2020-01-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-11 | 2020-01-04 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2019-02-06 | 2019-03-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-02-06 | 2019-03-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-02-06 | 2019-03-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-06 | 2019-03-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-02-06 | 2019-03-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-02-06 | 2019-03-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-02-06 | 2019-03-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-02-06 | 2019-03-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-02-06 | 2019-03-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-02-06 | 2019-03-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-06 | 2019-03-15 | N |