Deficiency Records for Norview Heights Rehabilitation and Nursing
Updated as of April 01, 2024
A list of the most recent deficiencies for Norview Heights 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? |
|---|---|---|---|---|
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2022-04-07 | 2022-05-09 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-10 | 2021-12-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-10 | 2021-12-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-10 | 2021-12-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-11-10 | 2021-12-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-10 | 2021-12-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-11-10 | 2021-12-08 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-11-10 | 2021-12-08 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-10-28 | 2021-12-06 | 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 | 2021-10-28 | 2021-12-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-28 | 2021-12-06 | 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 | 2021-10-28 | 2021-12-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-10-28 | 2021-12-06 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-10-28 | 2021-12-06 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-10-28 | 2021-12-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-28 | 2021-12-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-28 | 2021-12-06 | Y |
| 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 | 2021-10-28 | 2021-12-06 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-10-28 | 2021-12-06 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2021-10-28 | 2021-12-06 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-10-28 | 2021-12-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-09 | 2021-10-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-19 | 2021-10-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-19 | 2021-10-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-08-19 | 2021-10-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-19 | 2021-10-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-19 | 2021-10-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-19 | 2021-10-03 | 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 | 2021-08-19 | 2021-10-03 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-08-19 | 2021-10-03 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-09-03 | 2019-10-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-09-03 | 2019-10-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-09-03 | 2019-10-22 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-09-03 | 2019-10-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-03 | 2019-10-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-08-22 | 2019-10-05 | 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 | 2019-08-22 | 2019-10-05 | 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 | 2019-08-22 | 2019-10-05 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-08-22 | 2019-10-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-08-22 | 2019-10-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-22 | 2019-10-05 | 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 | 2019-08-22 | 2019-10-05 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-08-22 | 2019-10-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-22 | 2019-10-05 | N |
| Provide appropriate foot care. | Health | 2019-08-22 | 2019-10-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-22 | 2019-10-05 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2019-08-22 | 2019-10-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-22 | 2019-10-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-22 | 2019-10-05 | 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 | 2019-08-22 | 2019-10-05 | 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 | 2019-08-22 | 2019-10-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-22 | 2019-10-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-22 | 2019-10-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-05-30 | 2018-06-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-05-30 | 2018-06-27 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2018-05-30 | 2018-06-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-05-30 | 2018-06-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-05-30 | 2018-06-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-05-17 | 2018-06-25 | 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 | 2018-05-17 | 2018-06-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-05-17 | 2018-06-25 | N |
| Provide appropriate foot care. | Health | 2018-05-17 | 2018-06-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-05-17 | 2018-06-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-05-17 | 2018-06-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-05-17 | 2018-06-25 | 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 | 2018-05-17 | 2018-06-25 | N |
| Dispose of garbage and refuse properly. | Health | 2018-05-17 | 2018-06-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-17 | 2018-06-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-17 | 2018-06-25 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-05-17 | 2018-06-25 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-05-17 | 2018-06-25 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-05-17 | 2018-06-25 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-05-17 | 2018-06-25 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-05-17 | 2018-06-25 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-05-17 | 2018-06-25 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-05-17 | 2018-06-25 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-05-17 | 2018-06-25 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-05-17 | 2018-06-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-05-17 | 2018-06-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-17 | 2018-06-21 | N |
