Deficiency Records for Jefferson Nursing and Rehabilitation Center
Updated as of October 01, 2022
This is not the most recent data for Jefferson Nursing and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Jefferson Nursing and Rehabilitation Center. 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 the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-04-05 | 2022-05-15 | Y |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-03-01 | 2022-03-28 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-01 | 2022-03-28 | 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 | 2022-03-01 | 2022-03-28 | 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 | 2022-03-01 | 2022-03-28 | 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 | 2022-03-01 | 2022-03-28 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-01 | 2022-03-28 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-27 | 2021-05-24 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-27 | 2021-05-24 | 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 | 2021-04-27 | 2021-05-24 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-27 | 2021-05-24 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-27 | 2021-05-24 | 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 | 2021-04-27 | 2021-05-24 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-10-07 | 2020-11-08 | 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 | 2020-10-07 | 2020-11-08 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2020-10-07 | 2020-11-05 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-10-07 | 2020-11-05 | 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 | 2020-10-07 | 2020-11-05 | N |
Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2020-10-07 | 2020-11-05 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-09-28 | 2020-10-27 | Y |
Ensure that residents are free from significant medication errors. | Health | 2020-09-02 | 2020-09-30 | Y |
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2020-09-02 | 2020-09-30 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-08-19 | 2020-08-19 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-07-01 | 2020-08-01 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-07-01 | 2020-08-01 | Y |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2020-07-01 | 2020-08-01 | 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 | 2020-02-06 | 2020-02-24 | Y |
Ensure that residents are free from significant medication errors. | Health | 2020-02-06 | 2020-02-24 | Y |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2020-02-06 | 2020-02-24 | Y |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-01 | 2019-05-30 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-05-01 | 2019-05-30 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-04-30 | 2019-05-22 | N |
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 | 2019-04-30 | 2019-05-22 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-04-30 | 2019-05-22 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-30 | 2019-05-22 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2019-04-30 | 2019-05-22 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-04-30 | 2019-05-22 | 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 | 2019-04-30 | 2019-05-22 | N |
Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-04-30 | 2019-05-22 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-30 | 2019-05-22 | N |