Deficiency Records for Remarkable Healthcare of Prestonwood
Updated as of November 01, 2022
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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2022-08-05 | 2022-09-05 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-08-05 | 2022-09-05 | N |
| 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 |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-12-24 | 2020-12-31 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-12-24 | 2020-12-31 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-12-24 | 2020-12-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-28 | 2020-02-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-23 | 2019-12-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-23 | 2019-12-26 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2019-11-01 | 2019-11-02 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-11-01 | 2019-11-02 | Y |
| Provide activities to meet all resident's needs. | Health | 2019-11-01 | 2019-11-02 | Y |
| 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 |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-22 | 2019-09-04 | 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 | 2019-08-23 | 2019-08-24 | N |
| 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 necessary and PRN use is limited. | 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 |
