Deficiency Records for Nassawadox Rehabilitation and Nursing
Updated as of April 01, 2024
A list of the most recent deficiencies for Nassawadox Rehabilitation and Nursing. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-30 | 2023-07-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-06-30 | 2023-07-31 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-20 | 2022-09-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-20 | 2022-09-18 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-05-20 | 2022-09-18 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-05-20 | 2022-07-18 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-05-20 | 2022-07-18 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2022-05-20 | 2022-07-18 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-05-20 | 2022-07-18 | 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 | 2022-05-20 | 2022-07-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-20 | 2022-07-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-05-20 | 2022-07-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-20 | 2022-07-18 | 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 | 2022-05-20 | 2022-07-18 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-05-20 | 2022-07-18 | N |
| Provide appropriate foot care. | Health | 2022-05-20 | 2022-07-18 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-05-20 | 2022-07-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-20 | 2022-07-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-20 | 2022-07-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-20 | 2022-07-18 | 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 | 2022-05-20 | 2022-07-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-05-20 | 2022-07-18 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-20 | 2022-07-18 | N |
| Provide or obtain dental services for each resident. | Health | 2022-05-20 | 2022-07-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-20 | 2022-07-18 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-05-20 | 2022-07-18 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-05-20 | 2022-07-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-20 | 2022-07-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-20 | 2022-07-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-20 | 2022-07-18 | Y |
| 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 | 2022-05-20 | 2022-07-18 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-20 | 2022-06-10 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-08-08 | 2019-09-20 | 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 | 2019-08-08 | 2019-09-20 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-08-08 | 2019-09-20 | 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 | 2019-08-08 | 2019-09-20 | 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 | 2019-08-08 | 2019-09-20 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-08-08 | 2019-09-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-08 | 2019-09-20 | 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 | 2019-08-08 | 2019-09-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-08 | 2019-09-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-08 | 2019-09-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-08 | 2019-09-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-08 | 2019-09-20 | 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 | 2019-08-08 | 2019-09-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-08-08 | 2019-09-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-08 | 2019-09-20 | N |
| Dispose of garbage and refuse properly. | Health | 2019-08-08 | 2019-09-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-08 | 2019-09-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-11-09 | 2017-12-24 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-11-09 | 2017-12-24 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-11-09 | 2017-12-24 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-11-09 | 2017-12-24 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-11-09 | 2017-12-24 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-11-09 | 2017-12-24 | N |
