A list of the most recent deficiencies for Liberty Ridge Health and Rehab. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-20 | 2022-09-30 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-12-20 | 2022-09-30 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-02-15 | 2022-03-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-02-15 | 2022-03-21 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-02-10 | 2022-02-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-10 | 2022-02-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-10 | 2022-02-25 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-10 | 2022-02-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-10 | 2022-02-25 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-03-15 | 2021-04-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-03-15 | 2021-04-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-15 | 2021-04-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-02-17 | 2021-03-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-02-17 | 2021-03-09 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-06-27 | 2019-09-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-27 | 2019-09-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-06-27 | 2019-08-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-27 | 2019-08-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-27 | 2019-08-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-27 | 2019-08-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-27 | 2019-08-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-27 | 2019-08-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-06-27 | 2019-08-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-27 | 2019-08-12 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-06-13 | 2019-07-03 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-06-13 | 2019-07-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-13 | 2019-07-03 | 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 | 2019-06-13 | 2019-07-03 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-06-13 | 2019-07-03 | 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 | 2019-06-13 | 2019-07-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-13 | 2019-07-03 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-06-13 | 2019-07-03 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2019-06-13 | 2019-07-03 | N |
