Deficiency Records for Northgate Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Northgate Health and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-05-07 | 2023-06-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-11 | 2023-05-25 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-11 | 2023-05-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-07 | 2023-05-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-07 | 2023-05-25 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-04-25 | 2023-05-19 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2023-04-25 | 2023-05-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-25 | 2023-05-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-25 | 2023-05-19 | 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 | 2023-04-28 | 2023-04-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-28 | 2023-04-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-09 | 2023-03-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-09 | 2023-03-10 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-12-08 | 2023-01-06 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-08 | 2023-01-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-25 | 2022-09-21 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-27 | 2022-07-28 | 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 | 2022-03-02 | 2022-04-09 | 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 | 2022-03-02 | 2022-04-02 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-03-04 | 2022-03-28 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-03-04 | 2022-03-25 | 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 | 2022-03-04 | 2022-03-25 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-03-04 | 2022-03-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-04 | 2022-03-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-03-02 | 2022-03-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-02 | 2022-03-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-02-14 | 2022-02-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-30 | 2021-11-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-10 | 2021-10-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-11 | 2021-05-25 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-03-16 | 2021-05-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-03-16 | 2021-05-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-03-16 | 2021-05-02 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-03-19 | 2021-04-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-19 | 2021-04-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-03-19 | 2021-04-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-03-19 | 2021-04-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-19 | 2021-04-16 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2021-03-19 | 2021-04-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-03-19 | 2021-04-16 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-03-19 | 2021-04-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-19 | 2021-04-16 | N |
| Dispose of garbage and refuse properly. | Health | 2021-03-19 | 2021-04-16 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-03-16 | 2021-03-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-16 | 2021-03-31 | N |
