Decatur Rehab & Health Care Ct

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

F0623 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Nov 14, 2024) · From a complaint

Plan the resident's discharge to meet the resident's goals and needs.

F0660 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Nov 14, 2024) · From a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Oct 18, 2024)

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

F0912 · Environmental Deficiencies · Waiver has been granted (Oct 18, 2024)

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.

F0758 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Oct 18, 2024)

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Nov 13, 2024)

Make sure that a working call system is available in each resident's bathroom and bathing area.

F0919 · Environmental Deficiencies · Deficient, Provider has date of correction (Oct 18, 2024)

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

F0804 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Oct 18, 2024)

Ensure medication error rates are not 5 percent or greater.

F0759 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Oct 18, 2024)

Develop and implement policies and procedures for flu and pneumonia vaccinations.

F0883 · Infection Control Deficiencies · Deficient, Provider has date of correction (Oct 18, 2024)

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.

F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Nov 13, 2024)

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

F0644 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Oct 18, 2024)

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.

F0688 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Oct 18, 2024)

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0686 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Oct 18, 2024)

Provide safe and appropriate respiratory care for a resident when needed.

F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Oct 18, 2024)

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Oct 18, 2024)

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

F0801 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Nov 13, 2024)

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

F0805 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Oct 18, 2024)

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Oct 18, 2024)

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.

F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Oct 18, 2024)

Ensure each resident receives an accurate assessment.

F0641 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Oct 18, 2024)

Implement a program that monitors antibiotic use.

F0881 · Infection Control Deficiencies · Deficient, Provider has date of correction (Oct 18, 2024)

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.

F0727 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Oct 8, 2024) · From a complaint

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

F0557 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Sep 6, 2024) · From a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Sep 6, 2024) · From a complaint

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

F0655 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Sep 6, 2024) · From a complaint

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.

F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Sep 6, 2024) · From a complaint

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

F0740 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (May 30, 2024) · From a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (May 30, 2024) · From a complaint

Respond appropriately to all alleged violations.

F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (May 30, 2024) · From a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 17, 2024) · From a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0684 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 17, 2024) · From a complaint

Provide a bathroom in or located near each resident’s room.

F0918 · Environmental Deficiencies · Deficient, Provider has date of correction (Mar 1, 2024) · From a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Mar 1, 2024) · From a complaint

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.

F0727 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Mar 1, 2024) · From a complaint

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.

F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Mar 1, 2024) · From a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Feb 22, 2024) · From a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

F0740 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)

PASARR screening for Mental disorders or Intellectual Disabilities

F0645 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)

Ensure a qualified health professional conducts resident assessments.

F0642 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)

Provide safe and appropriate respiratory care for a resident when needed.

F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)

Put firmly secured handrails on each side of hallways.

F0924 · Environmental Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

F0801 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Sep 19, 2023)

Ensure residents have reasonable access to and privacy in their use of communication methods.

F0576 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)

Provide and implement an infection prevention and control program.

F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

F0912 · Environmental Deficiencies · Deficient, Provider has date of correction (Nov 1, 2023)

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

F0640 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)

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.

F0758 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

F0803 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

F0636 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)

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.

F0727 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Sep 8, 2022)

Honor the resident's right to organize and participate in resident/family groups in the facility.

F0565 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Sep 8, 2022)

Ensure that residents are fully informed and understand their health status, care and treatments.

F0552 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Sep 8, 2022)

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

F0690 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Sep 8, 2022)

Ensure that residents are free from significant medication errors.

F0760 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Sep 8, 2022)

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

F0755 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Sep 8, 2022)

Provide safe, appropriate pain management for a resident who requires such services.

F0697 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Sep 8, 2022)

Provide enough food/fluids to maintain a resident's health.

F0692 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Sep 8, 2022)

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

F0921 · Environmental Deficiencies · Deficient, Provider has date of correction (Sep 8, 2022)

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

F0882 · Infection Control Deficiencies · Deficient, Provider has date of correction (Sep 8, 2022)

Provide safe and appropriate respiratory care for a resident when needed.

F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Sep 8, 2022)

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Sep 8, 2022)

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

F0740 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Sep 8, 2022)

Ensure each resident’s drug regimen must be free from unnecessary drugs.

F0757 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Sep 8, 2022)

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Sep 8, 2022)

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.

F0758 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Sep 8, 2022)

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.

F0727 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Sep 23, 2022)

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0686 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Sep 23, 2022)

PASARR screening for Mental disorders or Intellectual Disabilities

F0645 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Sep 8, 2022)

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

F0810 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Sep 8, 2022)

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

F0661 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Sep 8, 2022)

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.

F0688 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Sep 8, 2022)

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

F0868 · Administration Deficiencies · Deficient, Provider has date of correction (Sep 8, 2022)

Provide care and assistance to perform activities of daily living for any resident who is unable.

F0677 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Sep 23, 2022)

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.

F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Sep 8, 2022)

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Sep 23, 2022)

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F0550 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Sep 8, 2022)

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

F0580 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Sep 8, 2022)

Conduct testing and exercise requirements.

E0039 · Emergency Preparedness Deficiencies · Deficient, Provider has plan of correction (Nov 4, 2024)

Develop and maintain an Emergency Preparedness Program (EP).

E0004 · Emergency Preparedness Deficiencies · Deficient, Provider has plan of correction (Nov 15, 2024)

Establish emergency prep training and testing.

E0036 · Emergency Preparedness Deficiencies · Deficient, Provider has plan of correction (Nov 4, 2024)

Develop a communication plan.

E0029 · Emergency Preparedness Deficiencies · Deficient, Provider has plan of correction (Nov 4, 2024)

Develop Emergency Preparedness policies and procedures.

E0013 · Emergency Preparedness Deficiencies · Deficient, Provider has plan of correction (Nov 4, 2024)

Establish staff and initial training requirements.

E0037 · Emergency Preparedness Deficiencies · Deficient, Provider has plan of correction (Nov 4, 2024)

Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

K0111 · Construction Deficiencies · Deficient, Provider has date of correction (Feb 16, 2024) · From a complaint

Establish staff and initial training requirements.

E0037 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Aug 31, 2023)

Develop Emergency Preparedness policies and procedures.

E0013 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Aug 31, 2023)

Conduct testing and exercise requirements.

E0039 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Sep 26, 2023)

Establish emergency prep training and testing.

E0036 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Aug 31, 2023)

Develop a communication plan.

E0029 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Aug 31, 2023)

Develop and maintain an Emergency Preparedness Program (EP).

E0004 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Aug 31, 2023)

Develop a communication plan.

E0029 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Sep 1, 2022)

Conduct testing and exercise requirements.

E0039 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Sep 1, 2022)

Establish emergency prep training and testing.

E0036 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Sep 1, 2022)

Develop and maintain an Emergency Preparedness Program (EP).

E0004 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Sep 1, 2022)

Establish staff and initial training requirements.

E0037 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Sep 1, 2022)

Develop Emergency Preparedness policies and procedures.

E0013 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Sep 1, 2022)