Deficiency Records for Rayburn Health Care and Rehabilitation
Updated as of October 01, 2021
This is not the most recent data for Rayburn Health Care and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Rayburn Health Care 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? |
---|---|---|---|---|
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-03-17 | 2021-04-30 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-03-17 | 2021-04-30 | 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 | 2021-03-17 | 2021-04-15 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-17 | 2021-04-15 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-03-17 | 2021-04-15 | N |
Ensure each resident receives an accurate assessment. | Health | 2021-03-18 | 2021-04-07 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-03-18 | 2021-04-07 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-03-18 | 2021-04-07 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-03-18 | 2021-04-07 | 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 | 2021-03-18 | 2021-04-07 | N |
Ensure that residents are free from significant medication errors. | Health | 2021-03-18 | 2021-04-07 | 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 | 2021-03-18 | 2021-04-07 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-18 | 2021-04-07 | 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 | 2019-06-24 | 2019-07-22 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-06-25 | 2019-07-22 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-06-25 | 2019-07-22 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-25 | 2019-07-22 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-25 | 2019-07-22 | 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 | 2019-06-25 | 2019-07-22 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-06-25 | 2019-07-22 | N |
Ensure that residents are free from significant medication errors. | Health | 2019-06-25 | 2019-07-22 | 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 | 2019-06-25 | 2019-07-22 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-25 | 2019-07-22 | N |
Provide and implement an infection prevention and control program. | Health | 2019-06-25 | 2019-07-22 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-24 | 2019-07-20 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-24 | 2019-07-20 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-06-25 | 2019-07-19 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-06-25 | 2019-07-19 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-06-24 | 2019-07-18 | 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 | 2019-06-25 | 2019-07-01 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-07-10 | 2018-08-20 | 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 | 2018-07-12 | 2018-08-15 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-07-12 | 2018-08-15 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-07-12 | 2018-08-10 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-12 | 2018-08-08 | 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 | 2018-07-10 | 2018-07-13 | N |