Deficiency Records for Orem Rehabilitation and Nursing Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Orem Rehabilitation and Nursing 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? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-07-18 | 2023-08-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-18 | 2023-08-29 | 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 | 2023-07-18 | 2023-08-29 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-07-18 | 2023-08-29 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-07-18 | 2023-08-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-07-18 | 2023-08-29 | 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 | 2023-07-18 | 2023-08-29 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-07-18 | 2023-08-29 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-07-18 | 2023-08-29 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-18 | 2023-08-29 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-07-18 | 2023-08-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-18 | 2023-08-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-07-18 | 2023-08-29 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-18 | 2023-08-29 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-07-11 | 2023-07-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-10 | 2022-04-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-10 | 2022-04-01 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-02-10 | 2022-04-01 | 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 | 2022-02-10 | 2022-04-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-02-10 | 2022-04-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-27 | 2022-02-01 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-12-27 | 2022-02-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-23 | 2021-05-28 | N |
| Report COVID19 data to residents and families. | Health | 2021-04-23 | 2021-05-28 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-04-23 | 2021-05-28 | 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 | 2021-04-23 | 2021-05-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-23 | 2021-05-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-23 | 2021-05-28 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-04-23 | 2021-05-28 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-04-23 | 2021-05-28 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-11-25 | 2020-01-20 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-11-25 | 2020-01-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-11-25 | 2020-01-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-25 | 2020-01-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-25 | 2020-01-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-11-25 | 2020-01-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-21 | 2019-12-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-21 | 2019-12-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-21 | 2019-12-20 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-11-21 | 2019-12-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-21 | 2019-12-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-21 | 2019-12-20 | N |
