A list of the most recent deficiencies for Hewitt 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-01-11 | 2024-01-12 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-01-11 | 2024-01-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-13 | 2023-04-15 | 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 | 2023-04-13 | 2023-04-15 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-01-19 | 2023-01-25 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-12-16 | 2023-01-16 | N |
| Dispose of garbage and refuse properly. | Health | 2022-12-16 | 2023-01-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-12-16 | 2022-12-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-16 | 2022-12-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-30 | 2022-07-02 | Y |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2021-11-10 | 2021-12-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-10 | 2021-12-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-11-10 | 2021-12-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-10 | 2021-12-02 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-11-19 | 2021-12-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-10 | 2021-10-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-04 | 2021-09-03 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-08-04 | 2021-09-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-04 | 2021-09-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-05 | 2019-10-11 | N |
| 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 | 2019-09-05 | 2019-10-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-05 | 2019-10-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-09-04 | 2019-10-11 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2019-09-04 | 2019-10-11 | N |
