A list of the most recent deficiencies for Rowntree Gardens. 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? |
---|---|---|---|---|
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 | 2023-03-03 | 2023-04-19 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-03 | 2023-04-19 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-03-03 | 2023-04-19 | 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 | 2023-03-03 | 2023-04-19 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-03-03 | 2023-04-19 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-03 | 2023-04-19 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-03 | 2023-04-19 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-03 | 2023-04-19 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-03 | 2023-04-19 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-03-03 | 2023-04-19 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-03 | 2023-04-19 | N |
Ensure that residents are free from significant medication errors. | Health | 2023-03-03 | 2023-04-19 | 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 | 2023-03-03 | 2023-04-19 | N |
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 | 2023-03-03 | 2023-04-19 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-03 | 2023-04-19 | N |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-03-03 | 2023-04-19 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-03 | 2023-04-19 | N |
Provide and implement an infection prevention and control program. | Health | 2023-03-03 | 2023-04-19 | N |
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-03-03 | 2023-04-19 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-03 | 2023-04-19 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-03 | 2023-04-19 | Y |
Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-03-09 | 2023-03-28 | N |
Use approved construction type or materials. | Fire Safety | 2023-03-09 | 2023-03-28 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-09 | 2023-03-28 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-09 | 2023-03-28 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-09 | 2023-03-28 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-09 | 2023-03-28 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-09 | 2023-03-28 | N |
Provide emergency officials' contact information. | Fire Safety | 2019-12-20 | 2020-01-21 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-12-20 | 2020-01-21 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-12-20 | 2020-01-21 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-12-20 | 2020-01-21 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-20 | 2020-01-21 | N |
Provide properly sized and located linen or trash receptacles. | Fire Safety | 2019-12-20 | 2020-01-21 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-20 | 2020-01-21 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-09 | 2020-01-07 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-09 | 2020-01-07 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-09 | 2020-01-07 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-12-09 | 2020-01-07 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-12-09 | 2020-01-07 | N |
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 | 2019-12-09 | 2020-01-07 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-09 | 2020-01-07 | N |
Dispose of garbage and refuse properly. | Health | 2019-12-09 | 2020-01-07 | N |
Keep all essential equipment working safely. | Health | 2019-12-09 | 2020-01-07 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-23 | 2019-05-13 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-23 | 2019-05-13 | N |
Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2019-02-25 | 2019-03-07 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-25 | 2019-03-07 | N |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-02-25 | 2019-03-07 | N |