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Deficiency Records for Deer Meadows Rehabilitation and Nursing
View the most recent health deficiencies and inspection results for Deer Meadows Rehabilitation and Nursing. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Deer Meadows Rehabilitation and Nursing. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-03-14 | 2025-04-15 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2025-03-14 | 2025-04-15 | Y |
| 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 | 2025-03-14 | 2025-04-15 | Y |
| Provide appropriate foot care. | Health | 2025-03-14 | 2025-04-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-03-14 | 2025-04-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-14 | 2025-04-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-14 | 2025-04-15 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-03-14 | 2025-04-15 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-03-14 | 2025-04-15 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2025-03-14 | 2025-04-15 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2025-03-14 | 2025-04-15 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-03-14 | 2025-04-15 | Y |
| 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 | 2025-03-14 | 2025-04-15 | Y |
| 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 | 2024-08-06 | 2024-09-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-06 | 2024-09-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-06 | 2024-09-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-06 | 2024-09-06 | N |
| Dispose of garbage and refuse properly. | Health | 2024-08-06 | 2024-09-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-06 | 2024-09-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-08-06 | 2024-09-06 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-08-06 | 2024-09-06 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-08-06 | 2024-09-06 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2024-08-06 | 2024-09-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-06 | 2024-09-06 | 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 | 2024-08-06 | 2024-09-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-06 | 2024-09-06 | 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 | 2024-08-06 | 2024-09-06 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-08-06 | 2024-09-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-08-06 | 2024-09-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-06 | 2024-09-06 | 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 | 2024-08-06 | 2024-09-06 | N |
| Provide activities to meet all resident's needs. | Health | 2024-08-06 | 2024-09-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-06 | 2024-09-06 | 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 | 2024-08-06 | 2024-09-06 | 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 | 2024-08-06 | 2024-09-06 | 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 | 2024-08-06 | 2024-09-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-10-28 | 2022-02-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-10-28 | 2022-02-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-28 | 2022-02-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-10-28 | 2022-01-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-10-28 | 2022-01-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-28 | 2022-01-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-10-28 | 2022-01-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-10-28 | 2022-01-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-28 | 2022-01-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-10-28 | 2021-12-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-28 | 2021-12-03 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-10-28 | 2021-12-03 | N |
| Provide or obtain dental services for each resident. | Health | 2021-10-28 | 2021-12-03 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-10-28 | 2021-12-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-28 | 2021-12-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-02 | 2019-06-13 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-05-02 | 2019-06-13 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-05-02 | 2019-06-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-05-02 | 2019-06-13 | 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 | 2019-05-02 | 2019-06-13 | 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 | 2019-05-02 | 2019-06-13 | 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 | 2019-05-02 | 2019-06-13 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-05-02 | 2019-06-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-05-02 | 2019-06-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-05-02 | 2019-06-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-02 | 2019-06-13 | N |