A list of the most recent deficiencies for Care Haven Center. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-01 | 2023-03-21 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-03-01 | 2023-03-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-03-01 | 2023-03-21 | N |
| 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 | 2023-03-01 | 2023-03-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-01 | 2023-03-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-01 | 2023-03-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-01 | 2023-03-21 | N |
| Provide or obtain dental services for each resident. | Health | 2023-03-01 | 2023-03-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-01 | 2023-03-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-01 | 2023-03-21 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-05-25 | 2022-06-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-25 | 2022-06-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-25 | 2022-06-24 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-01-11 | 2022-03-01 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-01-11 | 2022-03-01 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-01-11 | 2022-03-01 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2022-01-11 | 2022-03-01 | 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 | 2022-01-11 | 2022-03-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-01-11 | 2022-03-01 | 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 | 2022-01-11 | 2022-03-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-11 | 2022-03-01 | N |
| Respond appropriately to all alleged violations. | Health | 2022-01-11 | 2022-03-01 | 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 | 2022-01-11 | 2022-03-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-01-11 | 2022-03-01 | 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 | 2022-01-11 | 2022-03-01 | 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 | 2022-01-11 | 2022-03-01 | N |
| Provide activities to meet all resident's needs. | Health | 2022-01-11 | 2022-03-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-11 | 2022-03-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-11 | 2022-03-01 | N |
| 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 | 2022-01-11 | 2022-03-01 | N |
| Post nurse staffing information every day. | Health | 2022-01-11 | 2022-03-01 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-01-11 | 2022-03-01 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-01-11 | 2022-03-01 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-01-11 | 2022-03-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-11 | 2022-03-01 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-01-11 | 2022-03-01 | 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 | 2022-01-11 | 2022-03-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-11 | 2022-03-01 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-11 | 2022-03-01 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-01-11 | 2022-03-01 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-01-11 | 2022-03-01 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-01-11 | 2022-03-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-11 | 2022-03-01 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-01-04 | 2022-02-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-04 | 2022-02-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-04 | 2022-02-03 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-01-04 | 2022-02-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-18 | 2020-02-05 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-12-18 | 2020-02-05 | 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 | 2019-12-18 | 2020-02-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-12-18 | 2020-02-05 | 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 | 2019-12-18 | 2020-02-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-18 | 2020-02-05 | 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 | 2019-12-18 | 2020-02-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-18 | 2020-02-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-18 | 2020-02-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-12-18 | 2020-02-05 | 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 | 2019-12-18 | 2020-02-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-18 | 2020-02-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-12-18 | 2020-02-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-18 | 2020-02-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-12-18 | 2020-02-05 | 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 | 2019-12-17 | 2020-02-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-17 | 2020-02-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-17 | 2020-02-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-12-17 | 2020-02-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-17 | 2020-02-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-12-17 | 2020-02-05 | N |
