Deficiency Records for Raleigh Court Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Raleigh Court 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? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-13 | 2023-10-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-13 | 2023-10-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-13 | 2023-06-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-01-13 | 2023-06-12 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2022-12-19 | 2023-02-27 | N |
| Honor the resident's right to choose his or her attending physician. | Health | 2022-12-19 | 2023-02-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-19 | 2023-02-27 | 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 | 2022-12-19 | 2023-02-27 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-12-19 | 2023-02-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-19 | 2023-02-27 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-12-19 | 2023-02-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-12-19 | 2023-02-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-19 | 2023-02-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-19 | 2023-02-27 | 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 | 2022-12-19 | 2023-02-27 | 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 | 2022-12-19 | 2023-02-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-19 | 2023-02-27 | 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 | 2022-12-19 | 2023-02-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-19 | 2023-02-27 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2022-12-19 | 2023-02-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-19 | 2023-02-27 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2022-12-19 | 2023-02-27 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-12-19 | 2023-02-27 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-04-19 | 2021-05-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-19 | 2021-05-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-19 | 2021-05-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-19 | 2021-05-14 | Y |
| Provide appropriate foot care. | Health | 2021-04-19 | 2021-05-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-19 | 2021-05-14 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-01-22 | 2021-03-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-01-22 | 2021-03-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-01-22 | 2021-03-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-01-22 | 2021-03-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-01-22 | 2021-03-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-01-22 | 2021-03-12 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-01-22 | 2021-03-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-01-22 | 2021-03-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-01-22 | 2021-03-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-01-22 | 2021-03-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-12 | 2020-08-04 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-02-07 | 2019-03-19 | 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 | 2019-02-07 | 2019-03-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-02-07 | 2019-03-19 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-02-07 | 2019-03-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-07 | 2019-03-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-17 | 2019-02-19 | 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 | 2019-01-17 | 2019-02-19 | 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 | 2019-01-17 | 2019-02-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-17 | 2019-02-19 | N |
| Keep all essential equipment working safely. | Health | 2019-01-17 | 2019-02-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-13 | Not Fixed | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-13 | Not Fixed | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-01-13 | Not Fixed | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-01-13 | Not Fixed | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-13 | Not Fixed | N |
