Deficiency Records for Hunters Pond Rehabilitation and Healthcare
Updated as of March 01, 2024
A list of the most recent deficiencies for Hunters Pond Rehabilitation and Healthcare. 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? |
|---|---|---|---|---|
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-01-19 | 2024-01-20 | 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 | 2024-01-19 | 2024-01-20 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-01-19 | 2024-01-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-19 | 2024-01-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-05 | 2024-01-09 | 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 | 2023-12-04 | 2023-12-07 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-12-04 | 2023-12-07 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-04 | 2023-12-07 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-18 | 2023-10-23 | 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 | 2023-05-19 | 2023-06-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-05-19 | 2023-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-19 | 2023-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-19 | 2023-06-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-24 | 2023-06-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-24 | 2023-06-30 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-02 | 2023-06-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-02 | 2023-06-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-06-02 | 2023-06-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-02 | 2023-06-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-02 | 2023-06-05 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-27 | 2023-02-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-26 | 2022-09-19 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-11 | 2022-04-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-11 | 2022-04-13 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-03-11 | 2022-04-13 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-03-11 | 2022-04-13 | N |
| Post nurse staffing information every day. | Health | 2022-03-11 | 2022-04-13 | N |
| Dispose of garbage and refuse properly. | Health | 2022-03-11 | 2022-04-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-11 | 2022-04-13 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-03-11 | 2022-04-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-08 | 2022-04-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-12 | 2022-03-25 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-02-12 | 2022-03-18 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-02-12 | 2022-03-18 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-12 | 2022-03-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-31 | 2021-09-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-03-31 | 2021-04-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-02-26 | 2021-03-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-02-26 | 2021-03-26 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-02-26 | 2021-03-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-02-26 | 2021-03-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-02-26 | 2021-03-26 | 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 | 2021-02-26 | 2021-03-26 | 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 | 2021-02-26 | 2021-03-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-26 | 2021-03-26 | N |
| Dispose of garbage and refuse properly. | Health | 2021-02-26 | 2021-03-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-02-26 | 2021-03-26 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-02-26 | 2021-03-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-26 | 2021-03-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-02-25 | 2021-03-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-02-25 | 2021-02-26 | N |
