Deficiency Records for Hunters Pond Rehabilitation and Healthcare
Updated as of October 01, 2021
This is not the most recent data for Hunters Pond Rehabilitation and Healthcare. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 | N |
| 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 |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2020-10-20 | 2020-10-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-04-08 | 2020-04-24 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-13 | 2019-09-14 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-06-19 | 2019-07-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-19 | 2019-07-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-19 | 2019-07-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-21 | 2019-07-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-21 | 2019-07-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-06-21 | 2019-07-10 | 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 | 2019-06-21 | 2019-07-10 | 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 | 2019-06-21 | 2019-07-10 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-06-21 | 2019-07-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-21 | 2019-07-10 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-06-21 | 2019-07-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-05-31 | 2019-06-13 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-05-31 | 2019-06-02 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-10-26 | 2018-11-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-26 | 2018-11-01 | Y |
| 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 | 2018-10-26 | 2018-11-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-10-26 | 2018-11-01 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-15 | 2018-06-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-05-15 | 2018-06-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-05-15 | 2018-06-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-05-17 | 2018-06-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-17 | 2018-06-14 | 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 | 2018-05-17 | 2018-06-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-05-17 | 2018-06-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-17 | 2018-06-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-17 | 2018-06-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-17 | 2018-06-14 | N |
