Deficiency Records for Remarkable Healthcare of Prestonwood
Updated as of January 01, 2020
This is not the most recent data for Remarkable Healthcare of Prestonwood. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 | 2019-08-22 | 2019-09-10 | N |
| Be properly staffed | Fire Safety | 2019-08-22 | 2019-09-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-08-23 | 2019-08-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-23 | 2019-08-26 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-08-23 | 2019-08-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-23 | 2019-08-26 | 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 | 2019-08-23 | 2019-08-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-23 | 2019-08-26 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-08-23 | 2019-08-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-23 | 2019-08-26 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-08-23 | 2019-08-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-07-16 | 2019-07-17 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-07-16 | 2019-07-17 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-08-16 | 2018-10-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-16 | 2018-10-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-16 | 2018-10-02 | 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 | 2018-08-16 | 2018-10-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-08-16 | 2018-10-02 | 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 ne | Health | 2018-08-16 | 2018-10-02 | 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 | 2018-08-16 | 2018-10-02 | N |
| Dispose of garbage and refuse properly. | Health | 2018-08-16 | 2018-10-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-16 | 2018-10-02 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-08-16 | 2018-10-02 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2018-08-20 | 2018-09-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-20 | 2018-09-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-08-20 | 2018-09-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-20 | 2018-09-21 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-08-20 | 2018-09-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-08-20 | 2018-09-01 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-08-20 | 2018-09-01 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-08-20 | 2018-09-01 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-08-20 | 2018-09-01 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-08-20 | 2018-09-01 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-08-20 | 2018-09-01 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-08-20 | 2018-09-01 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-08-20 | 2018-09-01 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-08-20 | 2018-09-01 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-08-20 | 2018-09-01 | N |
| Develop a communication plan. | Fire Safety | 2018-08-20 | 2018-09-01 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-08-20 | 2018-09-01 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-08-20 | 2018-09-01 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-08-20 | 2018-09-01 | N |
| Establish methods for sharing information. | Fire Safety | 2018-08-20 | 2018-09-01 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-08-20 | 2018-09-01 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-08-20 | 2018-09-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-08-20 | 2018-09-01 | 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 ne | Health | 2018-04-03 | 2018-04-05 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-02-03 | 2018-02-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-02-03 | 2018-02-10 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-18 | 2017-10-18 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-07-27 | 2017-08-31 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-27 | 2017-08-31 | N |
| Keep clinical record information safe. | Health | 2017-07-27 | 2017-08-31 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-07-27 | 2017-08-31 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2017-07-26 | 2017-08-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-07-26 | 2017-08-19 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2017-07-27 | 2017-08-19 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-27 | 2017-08-19 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-03-09 | 2017-03-10 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-03-09 | 2017-03-10 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-03-09 | 2017-03-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-09 | 2017-03-10 | Y |
