Deficiency Records for Deerings Nursing and Rehabilitation LP
Updated as of April 01, 2024
A list of the most recent deficiencies for Deerings Nursing and Rehabilitation LP. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-15 | 2024-01-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-15 | 2024-01-18 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-01 | 2023-11-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-01 | 2023-11-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-01 | 2023-11-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-01 | 2023-11-02 | Y |
| 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 | 2023-11-01 | 2023-11-02 | Y |
| Post nurse staffing information every day. | Health | 2023-08-17 | 2023-09-25 | Y |
| 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 | 2023-08-02 | 2023-09-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-02 | 2023-09-02 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-12-15 | 2023-01-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-12-15 | 2023-01-15 | 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 | 2022-12-15 | 2023-01-15 | 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 | 2022-12-15 | 2023-01-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-15 | 2023-01-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-15 | 2023-01-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-15 | 2023-01-15 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-15 | 2022-12-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-24 | 2022-02-25 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-02-24 | 2022-02-25 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-11-16 | 2021-11-17 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-11-16 | 2021-11-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-11-16 | 2021-11-17 | 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 | 2021-11-16 | 2021-11-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-16 | 2021-11-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-11-16 | 2021-11-17 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-10-13 | 2021-11-04 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-10-13 | 2021-11-04 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-10-13 | 2021-11-04 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-10-13 | 2021-11-04 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-10-13 | 2021-11-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-13 | 2021-11-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-13 | 2021-09-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-08-13 | 2021-09-23 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-01-08 | 2020-02-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-10 | 2020-02-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-10 | 2020-02-24 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-01-10 | 2020-02-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-10 | 2020-02-24 | 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 | 2020-01-10 | 2020-02-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-10 | 2020-02-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-10 | 2020-02-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-10 | 2020-02-24 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-01-08 | 2020-02-24 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-01-08 | 2020-02-24 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-01-08 | 2020-02-24 | N |
| Develop a communication plan. | Fire Safety | 2020-01-08 | 2020-02-24 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2020-01-08 | 2020-02-24 | N |
| Establish methods for sharing information. | Fire Safety | 2020-01-08 | 2020-02-24 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2020-01-08 | 2020-02-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-08 | 2020-02-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-08 | 2020-02-24 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-15 | Not Fixed | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-15 | Not Fixed | Y |
| 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 | 2024-02-15 | Not Fixed | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-15 | Not Fixed | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-15 | Not Fixed | Y |
