Deficiency Records for Loudoun Rehabilitation and Nursing Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Loudoun 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 a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-01 | 2024-02-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-01 | 2024-01-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-01 | 2024-01-15 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-12-01 | 2024-01-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-01 | 2024-01-15 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-12-01 | 2024-01-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-01 | 2024-01-15 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-01 | 2024-01-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-26 | 2022-06-06 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-04-26 | 2022-06-06 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-04-26 | 2022-06-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-26 | 2022-06-06 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-04-26 | 2022-06-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-26 | 2022-06-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-26 | 2022-06-06 | 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 | 2022-04-26 | 2022-06-06 | 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 | 2022-04-26 | 2022-06-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-26 | 2022-06-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-26 | 2022-06-06 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-04-26 | 2022-06-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-06 | 2022-05-27 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-05-06 | 2022-05-27 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-05-02 | 2019-05-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-02 | 2019-05-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-02 | 2019-05-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-02 | 2019-05-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-21 | 2019-05-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-03-21 | 2019-05-01 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-03-21 | 2019-05-01 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-03-21 | 2019-05-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-03-21 | 2019-05-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-21 | 2019-05-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-03-21 | 2019-05-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-21 | 2019-05-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-03-07 | 2018-04-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-03-07 | 2018-04-17 | 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 | 2018-02-01 | 2018-03-09 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-02-01 | 2018-03-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-02-01 | 2018-03-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-02-01 | 2018-03-09 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-02-01 | 2018-03-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-02-01 | 2018-03-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-01 | 2018-03-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-02-01 | 2018-03-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-01 | 2018-03-09 | N |
