Deficiency Records for Henrico Health and Rehabilitation Center
Updated as of October 01, 2023
This is not the most recent data for Henrico Health and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Henrico 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-07-25 | 2023-08-15 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-03-15 | 2023-03-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-26 | 2023-03-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-26 | 2023-02-28 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-01-26 | 2023-02-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-26 | 2023-02-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-26 | 2023-02-28 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-01-26 | 2023-02-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-26 | 2023-02-28 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-01-26 | 2023-02-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-26 | 2023-02-28 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-01-26 | 2023-02-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-26 | 2023-02-28 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-01-26 | 2023-02-28 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-01-26 | 2023-02-28 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-01-26 | 2023-02-28 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-26 | 2023-02-28 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-01-26 | 2023-02-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-26 | 2023-02-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-15 | 2022-11-11 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-04-29 | 2022-05-31 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-29 | 2022-05-31 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-29 | 2022-05-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-29 | 2022-05-31 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-29 | 2022-05-31 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-29 | 2022-05-31 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-09-10 | 2022-01-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-10 | 2022-01-12 | N |
| Report COVID19 data to residents and families. | Health | 2021-09-10 | 2022-01-12 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-09-10 | 2022-01-12 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2021-09-10 | 2022-01-12 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-09-10 | 2021-11-30 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-09-10 | 2021-11-30 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-09-10 | 2021-11-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-10 | 2021-11-30 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-09-10 | 2021-11-30 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2021-09-10 | 2021-10-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-10 | 2021-10-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-20 | 2021-10-04 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2021-09-20 | 2021-10-04 | N |
| Use approved construction type or materials. | Fire Safety | 2018-11-02 | 2019-03-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-11-02 | 2019-03-28 | N |
| Meet other general requirements. | Fire Safety | 2018-11-02 | 2019-01-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-11-02 | 2019-01-14 | 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 | 2018-11-02 | 2019-01-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-02 | 2019-01-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-11-02 | 2019-01-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-11-02 | 2019-01-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-11-02 | 2019-01-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-11-02 | 2019-01-14 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2018-11-02 | 2019-01-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-02 | 2019-01-14 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-10-25 | 2018-11-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-25 | 2018-11-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-25 | 2018-11-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-25 | 2018-11-23 | 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 | 2018-10-25 | 2018-11-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-10-25 | 2018-11-23 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-10-25 | 2018-11-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-25 | 2018-11-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-25 | 2018-11-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-25 | 2018-11-23 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-10-25 | 2018-11-23 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-10-25 | 2018-11-23 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-10-25 | 2018-11-23 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-10-25 | 2018-11-23 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-10-25 | 2018-11-23 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2017-08-03 | 2017-08-18 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-03 | 2017-08-18 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-03 | 2017-08-18 | N |
