A list of the most recent deficiencies for Care and Rehab - Ladysmith 1. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-30 | 2023-12-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-30 | 2023-12-21 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-23 | 2023-11-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-12 | 2022-11-12 | 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 | 2022-10-12 | 2022-11-12 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-10-12 | 2022-11-12 | 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 | 2022-10-12 | 2022-11-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-12 | 2022-11-12 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-10-11 | 2022-11-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-11 | 2022-11-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-11 | 2022-11-11 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-15 | 2022-03-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-11 | 2021-12-02 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-11-11 | 2021-12-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-11 | 2021-12-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-11-11 | 2021-12-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-11 | 2021-12-02 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-08-06 | 2021-09-05 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-08-06 | 2021-09-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-08-06 | 2021-09-05 | 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 | 2021-08-06 | 2021-09-05 | N |
