Deficiency Records for Advanced Rehabilitation and Healthcare of Live Oak
Updated as of March 01, 2024
A list of the most recent deficiencies for Advanced Rehabilitation and Healthcare of Live Oak. 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? |
|---|---|---|---|---|
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-08-17 | 2023-08-18 | Y |
| Post nurse staffing information every day. | Health | 2023-03-28 | 2023-04-11 | Y |
| 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 | 2023-02-17 | 2023-03-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-17 | 2023-03-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-17 | 2023-03-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-17 | 2023-03-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-17 | 2023-03-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-17 | 2023-03-15 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-02-17 | 2023-03-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-17 | 2023-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-17 | 2023-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-16 | 2023-03-15 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2023-02-16 | 2023-03-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-02-16 | 2023-03-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-16 | 2023-03-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-03 | 2022-10-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-18 | 2022-08-02 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-18 | 2022-07-19 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-07-18 | 2022-07-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-18 | 2022-07-19 | 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 | 2022-04-23 | 2022-04-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-15 | 2022-04-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-15 | 2022-04-25 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-12-08 | 2022-01-07 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-12-08 | 2022-01-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-12-08 | 2022-01-07 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-12-08 | 2022-01-07 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-12-08 | 2022-01-07 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-12-08 | 2022-01-07 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-08 | 2022-01-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-08 | 2022-01-07 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-12-10 | 2021-12-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-12-10 | 2021-12-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-09-24 | 2021-10-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-24 | 2021-10-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-24 | 2021-10-18 | Y |
| 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 | 2021-09-24 | 2021-10-18 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-09-24 | 2021-10-18 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-24 | 2021-10-18 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-09-24 | 2021-10-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-09-24 | 2021-10-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-24 | 2021-10-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-14 | 2021-07-23 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-04-07 | 2021-04-08 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-04-07 | 2021-04-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-07 | 2021-04-08 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-09-05 | 2020-10-06 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2020-09-05 | 2020-10-06 | 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 | 2020-09-05 | 2020-10-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-09-05 | 2020-10-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-09-05 | 2020-10-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-09-05 | 2020-10-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-09-05 | 2020-10-06 | 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 | 2020-09-05 | 2020-10-06 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2020-09-05 | 2020-10-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-09-05 | 2020-10-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-09-05 | 2020-10-06 | 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 | 2020-09-05 | 2020-10-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-09-05 | 2020-10-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-09-05 | 2020-10-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-09-05 | 2020-10-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-05 | 2020-10-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-09-02 | 2020-10-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-02 | 2020-10-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-09-02 | 2020-10-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-09-02 | 2020-10-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-09-02 | 2020-10-06 | N |
