Deficiency Records for Professional Post Acute Center
Updated as of April 01, 2019
This is not the most recent data for Professional Post Acute Center. For the most recent information, click here.
A list of the most recent deficiencies for Professional Post Acute 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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-07 | 2019-03-11 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-01-07 | 2019-03-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-20 | 2019-02-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-12-07 | 2019-02-04 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-28 | 2018-12-10 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-07-25 | 2018-08-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-07-25 | 2018-08-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-07-25 | 2018-08-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-25 | 2018-08-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-07-25 | 2018-08-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-25 | 2018-08-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-25 | 2018-08-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-05-23 | 2018-06-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-05-23 | 2018-06-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-23 | 2018-06-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-23 | 2018-06-25 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-05-23 | 2018-06-25 | 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 ne | Health | 2018-05-23 | 2018-06-25 | 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 | 2018-05-23 | 2018-06-25 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-05-23 | 2018-06-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-05-24 | 2018-06-05 | Y |
| Hire a qualified dietician. | Health | 2018-03-26 | 2018-04-26 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2018-03-26 | 2018-04-26 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-11-29 | 2018-01-04 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-11-29 | 2018-01-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-05-23 | 2017-07-03 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-05-23 | 2017-07-03 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-05-23 | 2017-07-03 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-23 | 2017-07-03 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-05-23 | 2017-07-03 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-05-23 | 2017-07-03 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-23 | 2017-07-03 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-05-25 | 2017-06-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-05-25 | 2017-06-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-05-25 | 2017-06-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-05-25 | 2017-06-20 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-05-25 | 2017-06-20 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-08-17 | 2016-09-17 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2016-08-16 | 2016-09-17 | Y |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2016-07-26 | 2016-08-26 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-06-13 | 2016-07-13 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-04-18 | 2016-06-16 | N |
| Provide residents with private access to a telephone. | Health | 2016-04-18 | 2016-06-16 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-05-25 | 2016-06-10 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-04-18 | 2016-06-02 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-04-18 | 2016-06-02 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-04-18 | 2016-06-02 | N |
| Keep all essential equipment working safely. | Health | 2016-04-18 | 2016-06-02 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-04-18 | 2016-06-02 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2016-04-18 | 2016-06-02 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-05-06 | 2016-05-24 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-05-06 | 2016-05-24 | Y |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-04-19 | 2016-05-12 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-04-19 | 2016-05-12 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2016-04-19 | 2016-05-12 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-04-19 | 2016-05-12 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-04-19 | 2016-05-12 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-04-12 | 2016-05-04 | Y |
