A list of the most recent deficiencies for Rawlins Rehabilitation and Wellness. 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? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2023-03-29 | 2023-05-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-29 | 2023-05-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-29 | 2023-05-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-29 | 2023-05-04 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-03-31 | 2023-04-27 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-31 | 2023-04-27 | N |
| Respond appropriately to all alleged violations. | Health | 2023-03-31 | 2023-04-27 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-03-31 | 2023-04-27 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-03-31 | 2023-04-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-31 | 2023-04-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-29 | 2023-04-24 | 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 | 2023-03-29 | 2023-04-24 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-03-29 | 2023-04-07 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-03-02 | 2023-03-29 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-11-04 | 2022-11-28 | Y |
| 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 | 2022-11-04 | 2022-11-28 | Y |
| 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 | 2022-11-04 | 2022-11-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-22 | 2022-10-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-28 | 2022-05-11 | 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 | 2022-03-28 | 2022-05-11 | 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 | 2022-03-28 | 2022-05-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-28 | 2022-05-11 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-03-23 | 2022-05-11 | N |
| Meet other general requirements. | Fire Safety | 2022-03-23 | 2022-05-11 | 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 | 2022-03-23 | 2022-05-11 | 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 | 2022-03-23 | 2022-05-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-23 | 2022-05-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-23 | 2022-05-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-03-30 | 2021-06-15 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-04-01 | 2021-05-10 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2021-04-01 | 2021-05-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-04-01 | 2021-05-04 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-04-01 | 2021-05-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-04-01 | 2021-05-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-01 | 2021-05-04 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-04-01 | 2021-05-04 | 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 | 2021-04-01 | 2021-05-04 | 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 | 2021-03-30 | 2021-05-04 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-03-30 | 2021-05-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-30 | 2021-05-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-03-30 | 2021-05-04 | N |
| Have a properly installed and maintained dumbwaiter or escalator. | Fire Safety | 2021-03-30 | 2021-05-04 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-03-30 | 2021-05-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-03-30 | 2021-04-24 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2021-03-30 | 2021-04-24 | N |
