Deficiency Records for The Palms Nursing and Rehabilitation
Updated as of April 01, 2024
A list of the most recent deficiencies for The Palms Nursing and 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? |
|---|---|---|---|---|
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-12-27 | 2023-12-28 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-12-04 | 2023-12-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-04 | 2023-12-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-17 | 2023-08-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-17 | 2023-08-17 | 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 | 2023-05-10 | 2023-06-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-10 | 2023-06-15 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-05-10 | 2023-06-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-10 | 2023-06-15 | 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 | 2023-05-10 | 2023-06-15 | 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 | 2023-05-10 | 2023-06-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-10 | 2023-06-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-05-09 | 2023-06-01 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-05-09 | 2023-06-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-09 | 2023-06-01 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-05-09 | 2023-06-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-09 | 2023-06-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-05-09 | 2023-06-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-09 | 2023-06-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-09 | 2023-06-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-04-12 | 2023-05-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-12 | 2023-05-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-12 | 2023-05-16 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-03-06 | 2023-03-30 | Y |
| 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 | 2023-03-06 | 2023-03-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-20 | 2023-01-26 | Y |
| 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 | 2022-11-11 | 2022-12-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-11 | 2022-12-23 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-10-20 | 2022-11-04 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-08 | 2022-08-26 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-03-11 | 2022-04-15 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-03-11 | 2022-04-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-11 | 2022-04-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-23 | 2022-04-15 | Y |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2022-03-10 | 2022-04-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-10 | 2022-04-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-03-10 | 2022-04-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-10 | 2022-04-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-04-29 | 2021-05-28 | 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 | 2021-04-29 | 2021-05-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-29 | 2021-05-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-04-29 | 2021-05-28 | N |
| Respond appropriately to all alleged violations. | Health | 2021-04-30 | 2021-05-27 | N |
