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Deficiency Records for Lea Hill Rehabilitation and Care Center
View the most recent health deficiencies and inspection results for Lea Hill Rehabilitation and Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lea Hill Rehabilitation and Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-09-19 | 2025-12-18 | N |
| Meet other general requirements. | Fire Safety | 2025-09-19 | 2025-11-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-09-19 | 2025-11-18 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-09-19 | 2025-10-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-09-19 | 2025-10-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-09-19 | 2025-10-28 | 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 | 2025-09-19 | 2025-10-28 | 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 | 2025-09-19 | 2025-10-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-19 | 2025-10-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-09-19 | 2025-10-28 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-09-19 | 2025-10-28 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-09-19 | 2025-10-28 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-09-19 | 2025-10-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-09-19 | 2025-10-28 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-09-19 | 2025-10-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-09-19 | 2025-10-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-09-19 | 2025-10-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-09-19 | 2025-10-18 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-09-19 | 2025-10-17 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-09-19 | 2025-10-17 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2025-09-19 | 2025-10-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-09-19 | 2025-10-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-09-19 | 2025-10-17 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-09-19 | 2025-10-17 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2025-09-19 | 2025-10-17 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2025-09-19 | 2025-10-17 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2025-09-19 | 2025-10-17 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-09-19 | 2025-10-17 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2025-09-19 | 2025-10-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-09-19 | 2025-10-17 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-09-19 | 2025-10-17 | N |
| 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 | 2025-09-19 | 2025-10-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-09-19 | 2025-10-17 | N |
| Establish emergency prep training and testing. | Fire Safety | 2025-09-19 | 2025-10-17 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2025-09-19 | 2025-10-17 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-09-19 | 2025-10-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-09-19 | 2025-10-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-02 | 2024-08-13 | 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 | 2024-07-02 | 2024-08-13 | N |
| Respond appropriately to all alleged violations. | Health | 2024-07-02 | 2024-08-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-07-02 | 2024-08-13 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-07-02 | 2024-08-13 | 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 | 2024-07-02 | 2024-08-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-02 | 2024-08-13 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-07-02 | 2024-08-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-02 | 2024-08-13 | 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 | 2024-07-02 | 2024-08-13 | 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 | 2024-07-02 | 2024-08-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-02 | 2024-08-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-07-02 | 2024-08-13 | 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 | 2024-07-02 | 2024-08-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-02 | 2024-08-13 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-07-02 | 2024-07-30 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-07-02 | 2024-07-30 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-07-02 | 2024-07-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-02 | 2024-07-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-02 | 2024-07-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-02 | 2024-07-30 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-07-02 | 2024-07-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-07-02 | 2024-07-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-07-02 | 2024-07-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-07-02 | 2024-07-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-07-02 | 2024-07-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-02 | 2024-07-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-03 | 2023-05-15 | 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 | 2023-04-03 | 2023-05-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-03 | 2023-05-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-03 | 2023-05-15 | 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 | 2023-04-03 | 2023-05-15 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-04-03 | 2023-05-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-03 | 2023-05-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-03 | 2023-05-15 | N |
| Respond appropriately to all alleged violations. | Health | 2023-04-03 | 2023-05-15 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-04-03 | 2023-05-15 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-04-03 | 2023-05-02 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-04-03 | 2023-05-02 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-04-03 | 2023-05-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-03 | 2023-05-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-04-03 | 2023-05-02 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-04-03 | 2023-05-02 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-04-03 | 2023-05-02 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2023-04-03 | 2023-05-02 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-04-03 | 2023-05-02 | N |