A list of the most recent deficiencies for Cisco Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-08 | 2023-12-25 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-08 | 2023-12-25 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-06-08 | 2023-06-30 | N |
| 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 | 2023-06-08 | 2023-06-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-08 | 2023-06-30 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-06-08 | 2023-06-30 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-06-08 | 2023-06-30 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-06-08 | 2023-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-08 | 2023-06-30 | 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 | 2023-06-06 | 2023-06-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-06-06 | 2023-06-30 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-02-06 | 2023-02-07 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-02-06 | 2023-02-07 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-02-06 | 2023-02-07 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-02-06 | 2023-02-07 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-02-06 | 2023-02-07 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-02-06 | 2023-02-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-02-06 | 2023-02-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-06 | 2023-02-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-06 | 2023-02-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-06 | 2023-02-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-22 | 2023-01-12 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-28 | 2022-05-28 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-04-28 | 2022-05-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-28 | 2022-05-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-28 | 2022-05-28 | N |
| Post nurse staffing information every day. | Health | 2022-04-28 | 2022-05-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-28 | 2022-05-28 | 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 | 2022-04-28 | 2022-05-28 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-11-03 | 2021-12-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-03 | 2021-12-02 | Y |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-10-15 | 2019-11-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-10-15 | 2019-11-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-15 | 2019-11-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-10-16 | 2019-11-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-15 | 2019-11-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-16 | 2019-10-31 | 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 | 2019-10-16 | 2019-10-31 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-10-15 | 2019-10-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-10-15 | 2019-10-30 | 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 | 2019-10-15 | 2019-10-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-10-15 | 2019-10-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-10-15 | Not Fixed | N |
