Deficiency Records for Remarkable Healthcare of Prestonwood
Updated as of March 01, 2024
A list of the most recent deficiencies for Remarkable Healthcare of Prestonwood. 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? |
|---|---|---|---|---|
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-07 | 2024-01-09 | 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 | 2023-12-07 | 2024-01-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-07 | 2024-01-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-07 | 2024-01-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-07 | 2024-01-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-07 | 2024-01-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-12-07 | 2024-01-05 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-12-07 | 2024-01-05 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-12-07 | 2024-01-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-07 | 2024-01-05 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-12-07 | 2024-01-05 | N |
| 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 | 2023-12-07 | 2024-01-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-07 | 2024-01-05 | 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 | 2023-12-07 | 2024-01-05 | 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 | 2023-12-07 | 2024-01-05 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-12-07 | 2024-01-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-07 | 2024-01-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-07 | 2024-01-05 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-12-07 | 2024-01-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-07 | 2024-01-05 | 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 | 2023-10-31 | 2023-11-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-31 | 2023-11-24 | Y |
| Keep all essential equipment working safely. | Health | 2023-10-31 | 2023-11-11 | Y |
| 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 | 2023-10-31 | 2023-11-07 | 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 | 2023-05-01 | 2023-05-24 | 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 | 2023-04-19 | 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 | 2023-01-05 | 2023-02-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-05 | 2023-02-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-26 | 2022-11-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-26 | 2022-11-15 | 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 | 2022-10-28 | 2022-11-15 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-10-28 | 2022-11-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-28 | 2022-11-15 | 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 | 2022-10-26 | 2022-11-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-26 | 2022-11-11 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-10-28 | 2022-11-04 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-10-28 | 2022-11-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-10-28 | 2022-11-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-28 | 2022-11-01 | 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 | 2022-08-21 | 2022-09-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-21 | 2022-09-11 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-08-21 | 2022-09-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-05 | 2022-09-05 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-08-05 | 2022-09-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-01 | 2022-06-24 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-28 | 2022-04-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-28 | 2022-04-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-10 | 2022-03-09 | Y |
| 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 | 2021-09-22 | 2021-09-25 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-10 | 2021-09-01 | 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 | 2021-08-10 | 2021-09-01 | 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 | 2021-08-10 | 2021-09-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-10 | 2021-09-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-10 | 2021-09-01 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-08-10 | 2021-09-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-10 | 2021-09-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-10 | 2021-09-01 | 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 | 2021-08-09 | 2021-08-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-09 | 2021-08-20 | N |
| Respond appropriately to all alleged violations. | Health | 2021-08-09 | 2021-08-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-09 | 2021-08-20 | Y |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-08-10 | 2021-08-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-24 | 2021-04-21 | Y |
| Post nurse staffing information every day. | Health | 2021-04-14 | 2021-04-15 | 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 | 2021-03-24 | 2021-03-25 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-03-24 | 2021-03-25 | Y |
