Deficiency Records for North Star Ranch Rehabilitation and Health Care Ce
Updated as of March 01, 2024
A list of the most recent deficiencies for North Star Ranch Rehabilitation and Health Care Ce. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-12 | 2024-01-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-12 | 2024-01-13 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-01-12 | 2024-01-13 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-21 | 2023-01-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-21 | 2023-01-06 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-12-01 | 2022-12-23 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-12-01 | 2022-12-23 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-12-01 | 2022-12-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-01 | 2022-12-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-01 | 2022-12-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-01 | 2022-12-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-01 | 2022-12-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-01 | 2022-12-23 | 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 | 2022-12-01 | 2022-12-23 | 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 | 2022-12-01 | 2022-12-23 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-12-01 | 2022-12-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-01 | 2022-12-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-01 | 2022-12-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-01 | 2022-12-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-12-01 | 2022-12-23 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-12-01 | 2022-12-23 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-09-08 | 2021-09-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-09-08 | 2021-09-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-09-08 | 2021-09-30 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-09-09 | 2021-09-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-09 | 2021-09-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-09 | 2021-09-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-09 | 2021-09-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-22 | 2021-07-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-07-22 | 2021-07-23 | Y |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2019-09-11 | 2019-10-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-09-12 | 2019-10-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-12 | 2019-10-01 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-09-11 | 2019-09-20 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-09-12 | 2019-09-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-09-12 | 2019-09-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-12 | 2019-09-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-09-11 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-09-11 | Not Fixed | N |
