Deficiency Records for Nazareth Health and Rehab Center
Updated as of January 01, 2023
This is not the most recent data for Nazareth Health and Rehab Center. For the most recent information, click here.
A list of the most recent deficiencies for Nazareth Health and Rehab 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? |
---|---|---|---|---|
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-09-08 | 2022-10-21 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-13 | 2022-10-12 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-09-13 | 2022-10-12 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-13 | 2022-10-12 | N |
Conduct testing and exercise requirements. | Fire Safety | 2022-09-08 | 2022-10-12 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-08 | 2022-10-12 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2022-09-08 | 2022-10-12 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-08 | 2022-10-12 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-09-08 | 2022-10-12 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-09-08 | 2022-10-12 | 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 | 2022-09-08 | 2022-09-29 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-08 | 2022-09-29 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-09-08 | 2022-09-29 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-16 | 2022-03-11 | Y |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-07-01 | 2021-11-19 | N |
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2021-07-01 | 2021-11-19 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-07-01 | 2021-08-01 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-01 | 2021-08-01 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-01 | 2021-08-01 | 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 | 2021-07-01 | 2021-08-01 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-01 | 2021-08-01 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-01 | 2021-08-01 | Y |
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 | 2021-07-01 | 2021-08-01 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-01 | 2021-08-01 | Y |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-07-01 | 2021-08-01 | 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 | 2021-07-01 | 2021-08-01 | N |
Construct fire resistant interior walls. | Fire Safety | 2021-07-01 | 2021-08-01 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2021-07-01 | 2021-08-01 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-07-01 | 2021-08-01 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-01 | 2021-08-01 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-07-01 | 2021-08-01 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-01 | 2021-08-01 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-01 | 2021-07-02 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-07-01 | 2021-07-02 | N |
Provide and implement an infection prevention and control program. | Health | 2020-06-29 | 2020-07-28 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-05-22 | 2019-06-22 | 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 | 2019-05-22 | 2019-06-22 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-05-22 | 2019-06-22 | N |
Respond appropriately to all alleged violations. | Health | 2019-05-22 | 2019-06-22 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-05-22 | 2019-06-22 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-22 | 2019-06-22 | N |
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2019-05-22 | 2019-06-22 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-05-22 | 2019-06-22 | 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 | 2019-05-22 | 2019-06-22 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-22 | 2019-06-22 | N |
Dispose of garbage and refuse properly. | Health | 2019-05-22 | 2019-06-22 | N |
Have exits that are accessible at all times. | Fire Safety | 2019-05-22 | 2019-06-22 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2019-05-22 | 2019-06-22 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-22 | 2019-06-22 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-05-22 | 2019-06-22 | N |
Have an externally vented heating system. | Fire Safety | 2019-05-22 | 2019-06-22 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-05-22 | 2019-06-22 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-22 | 2019-06-22 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-05-22 | 2019-06-22 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-09-08 | Not Fixed | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-07-01 | Not Fixed | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-05-22 | Not Fixed | N |