Call for pricing and availability: (980) 890-6880
Accordius Health At Roanoke
324 King George Ave Sw, Roanoke, VA 24016
Based on 20 reviews
Services and Housing Options
Nursing Home, Hospice, Respite, Skilled Nursing, RehabilitationEstimated Pricing
For Pricing & Availability
(980) 890-6880To Reach a Resident
(540) 345-8139Accordius Health At Roanoke Description
A skilled nursing facility with 130 beds, Accordius Health at Roanoke is located in the small town of Roanoke, Virginia. Surrounded by the scenic beauty of the Blue Ridge Mountains, it has been providing seniors with passionate and compassionate care for over five decades. We offer the best short-term and long-term care possible, and our team of full-time therapists are experts in rehabilitation. At Accordius, we believe in providing programming that enhances the quality of life for young people in our communities.Rehabilitation
We offer rehabilitation therapy services at our centers for those who are no longer require an in-patient hospital stay but aren't quite ready to go home yet. Physical Therapy programs help patients to rebuild their strength, function and mobility so they can successfully return home.Skilled Nursing
Each center provides comprehensive skilled nursing services with a professional team of Registered Nurses, Licensed Practical Nurses, Certified Nursing Assistants and others. No two patients are alike, so neither should their care plans. At our facility, we design individualized care plans to meet the specific needs of each and every patient. This way, you can be sure that you or your loved one will receive the best possible treatment.Dining
There's nothing more comforting than Mom's cooking or local cuisine that transports you back to simpler times. Our menu is inspired by our location, with fresh and flavorful dishes. No matter what you're in the mood for, we've got you covered with our two delicious entree options. The dietary manager and dietician work together to create delicious, healthy meals that will make your heart happy!Price Comparison
Ranking
Parent Organization
Accordius Health At Roanoke is a member of a larger group of communities called Accordius Health.Connect with a Free Senior Living Advisor
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Rehabilitation Services and Amenities
Accordius Health At Roanoke offers an array of rehabilitation services and amenities to its patients. Occupational Therapy programs are designed to help patients restore their ability to provide their own self care, such as eating, dressing and bathing. Additionally, Speech Therapy programs are available to help patients with swallowing and cognitive difficulties. The therapy teams at Accordius Health At Roanoke are an integral part of the interdisciplinary team dedicated to providing the best possible care for its patients.Skilled Nursing Services and Amenities
Accordius Health At Roanoke provides a range of skilled nursing services and amenities to its residents. They specialize in stroke and neurological recovery, pain management, post-surgical care, Alzheimer’s/dementia memory care, hospice and palliative care, pharmacy management, mental and behavioral health care, bariatric rehabilitation care, lymphedema care, and wound care. The facility is dedicated to providing quality care to all its residents and provides personalized services to meet the needs of each individual.Health
therapists
rehabilitation
skilled nursing
pain management
respite care
dietician
orthopedic rehab
short-term and long-term care
Activities
community outings
bingo
art classes
community events
trivia
specialized activities
games
birthday parties
Dining
nutritious meals
snacks
Services
resident council
Amenities
cable
complimentary wi-fi
spa
reception
flat screen tvs
free wifi
therapy gym
bedside phones
beautiful outdoor courtyard
lounge
Religious
religious services
Information from Centers for Medicare & Medicaid Services
This nursing community has been given an overall rating of 1 out of 5 stars by The Center for Medicare and Medicaid receiving 1 stars on its health inspection, 3 stars on its quality measures rating, and 1 stars on its staffing rating. Within the quality measure rating, each facility is given a short-stay rating and a long-stay rating. This facility received a 4-star short-stay rating and a 3-star long-stay rating. This nursing home is certified by Medicare and Medicaid and was first approved to provide Medicare and Medicaid services on 04/25/85 and is run by a for profit organization. It is a large-sized nursing community with 130 nursing beds. Currently, there are 57 residents within the nursing community. Be advised these resident occupancy numbers are not always up to date and are collected from the Center for Medicare and Medicaid Services website periodically.Alerts from Centers for Medicare & Medicaid Services
This community is a special focus facility candidate a classification given by The Center for Medicare and Medicaid Services. These facilities have a history of serious quality issues or are included in a special program to stimulate improvements in their quality of care. This facility has been given 2 fines by The Centers for Medicare & Medicaid Services for a total of $165,948.25. The facility has had 1 payment denials, which is when the government stops payments to a nursing home for new residents until the facility fixes an outstanding citation. The facility has had 3 substantiated complaints reported in the last 3 years that resulted in a citation.Staff Ratings
The nursing home known as the Choice Healthcare at Roanoke has some of the lowest staff ratings, being in the bottom 20% of all facilities. In terms of nursing aid staffing hours per resident per day, they are lower than the state average, and in the same category for LPN staffing hours per resident per day. RN staffing hours per resident per day is where this nursing home falls particularly low, in the bottom 30% of all facilities, and again their physical therapist staffing hours per resident per day is lower than the state average.Covid Data
The Choice Healthcare at Roanoke is a nursing home that ranks in the bottom 20% of facilities in terms of resident vaccination rate. The resident vaccination rate at this nursing home is 77.4%, which is significantly lower than the state average of 88.9%. However, The Choice Healthcare at Roanoke ranks in the top 40% of facilities when it comes to staff vaccination rates. The staff vaccination rate here is 94.4%, only slightly lower than the state average of 94.9%. Finally, The Choice Healthcare at Roanoke ranks in the bottom 40% of facilities when it comes to covid booster rates. The covid booster rate here is 81.3%, again only slightly lower than the state average of 84.9%.Quality Measures
The Choice Healthcare At Roanoke is a nursing home that is in the bottom 20% of facilities in terms of residents who received an antianxiety or hypnotic medication. The nursing home is in the top 30% of facilities in terms of residents who received an antipsychotic medication. The nursing home is in the top half of facilities in terms of residents who have depressive symptoms. The nursing home is in the bottom 20% of facilities in terms of residents who received an antianxiety or hypnotic medication. The nursing home is in the top 30% of facilities in terms of residents who received an antipsychotic medication. The nursing home is in the top 20% of facilities in terms of residents with a catheter inserted and left in their bladder. The nursing home is in the bottom 40% of facilities in terms of residents whose need for help with daily activities has increased. The nursing home is in the bottom 10% of facilities in terms of residents whose ability to move independently worsened.Emergency and Hospitalization Quality Measures
The nursing home known as The Choice Healthcare At Roanoke is in the bottom 30% of all facilities in terms of hospitalizations per 1000 days. This number is unfortunately higher than the state average. In addition, The Choice Healthcare At Roanoke ranks in the bottom 20% of all facilities when it comes to outpatient emergency department visits per 1000 days. Although this number is only slightly higher than the state average, it is still a cause for concern. On a more positive note, The Choice Healthcare At Roanoke ranks in the top 20% of all facilities when it comes to short-stay residents who had outpatient emergency department visits. However, when looking at short stay residents who were rehospitalized after a nursing home admission, The Choice Healthcare At Roanoke falls to the bottom 20%. Once again, this number is way higher than the state average and indicates that there may be some serious issues with this nursing home.By clicking "Get Exact Costs", you consent to being contacted either by My Caring Plan or our third-party partners at the phone number and contact information provided, including through the use of an automated dialer system. I agree to be bound by My Caring Plan’s Terms and Conditions and Privacy Policy
The Roanoke Area
Healthcare Nearby
Hospitals
Pharmacies
Dentists
Essentials Nearby
Transportation
Bus Stations
Supermarkets
Banks
Things to do in the Area
None Found
Parks
Shopping
Culture
Restaurants
Weather
Disclaimer
My Caring Plan is not affiliated with the owner or operator(s) of this facility. The information on this page has not been verified or approved by the owner or operator. The information about this facility has been created to the best of our abilities. If you manage this facility please contact us here to claim this listing.
By clicking "Get Exact Costs", you consent to being contacted either by My Caring Plan or our third-party partners at the phone number and contact information provided, including through the use of an automated dialer system. I agree to be bound by My Caring Plan’s Terms and Conditions and Privacy Policy
Reviews
General Staff Rating
Care Staff Rating
Cleanliness Rating
Activities and Services Rating
Great staff, and clean environment
ITS A WORK IN PROGRESS HALLWAYS LOOK BETTER WITH NEW PAINT, STILL A LONG WAY TO GO COURTYARD LOOKS GOOD NEEDS MORE PLANTS / OUTSIDE THINGS COV 19 HAS REALLY STOPPED ALOT OF THINGS FOR THE RESIDENTS
This place has turned hands a lot over the years. Current management and staff are trying their best to make the place better. What people do not realize is that there is a lot of turnover in this industry. COVID has tremendously made things worse. The Respiratory Therapy Department and Rehabilitation Department here are TOP NOTCH!! Many success stories of people improving on Vents and Trachs. Multiple success stories of people walking out of this facility when it previously seemed highly unlikely. The facility is undergoing renovations to update it. New floors, new hallways and ceilings. The management team themselves are painting and cleaning the rooms to spruce them up! They are that dedicated to creating a more homelike environment for the residents. Unfortunately many complaints stem from the fact that families, who are going through really hard times with their loved one, do not understand how the system works. Also, you just cannot please everyone. More people are apt to complain and write a bad review than someone who is pleased with the care in the facility. The Nursing Administration is trying their absolute best to improve Quality of Care. From what I have heard about staffing ratios at other facilities, Accordius is far from short staffed. I have heard that other facilities operate their CNAs on a 1:30 ratio. That is most definitely not the case here. Resident activities include daily activities but also events for the holidays. There is a Resident Council so that the residents have a voice in their care and treatment. This facility has the potential to be a 5-Star rating. Just you wait and see!
I would not leave a dog there. My loved one was there for 2 months with a brain injury and required constant turn over and cleaning. Instead got 5 large bed sores. Eventually needed amputation due to how bad the infection set in the wounds. If you don't have to leave your love one there; go elsewhere. They never answer their phone lines. When they do they are extremely rude. I pulled my loved one from there after the 6th hospitalization for infections. If I could give this place a half star I would.
They hired me to help turn the place around. I ended up getting sick my 1st day then sick again 2 wks later. Note I had a fever with other s/s of covid. The management was going to have me stay and work but the staff told management I was sick and didn't need to be there. So they sent me home.Administration/management never tested me for covid!.Came in the next day after talking with my MD and had some meds to keep me ok until my MD appointment on Wednesday. I should have not went in but in this field they don't care if you are sick.They had a nurse in my place. So I asked my DON if I could leave and get the care I needed and I would come in the next day and work.She told me to hang out for an hour. Then she is pulling me in her office telling me I am terminated. She stated is was because I missed 3 days of work in my 3 wks there. I told her I only missed 2 because of fever and other symptoms and she said today would be 3. Then I stated I would stay and work and just see my MD on my next off day which was Wednesday. She told me No. We can't have you here infecting others but when you leave today that will be day 3 of missed work and you are terminated.I was wrongfully fired because I was sick and was showing s/s of covid and they never tested me for it. They just fired me. My MD ordered my covid test Wednesday . Waiting the results.The management here is not better as much as they think they are.Do not come here!!
If I could rate it a 0 I would. The facility had a week or so to prepare for a new patient's arrival, when arriving their wasn't a room or bed ready. After waiting an hour or so the room the patient was placed in had no electric bed nor any working devices, such as a call button, how do you run a nursing home without a call button? a bed was found but without any side bars and a hand held call bell that you shake was given to the patient...really...who does that....the patient was to weak to hold anything .... The floor was filthy, have pictures to show. It's painful enough for a loved one to go into a nursing facility but even worse when its in total disarray, isn't friendly or welcoming. That is what's needed in nursing facility's are warm welcoming staff to make the patient and family feel more at ease leaving them in someone else's care and with and working devices. Would not recommend this place to anyone.
Less than one star if possible. I tried to be positive and look past the fact that they were not prepared for a new intake... I tried to overlook the construction in process. But I could not overlook the fact that her room did not have any working call buttons and they gave her a hand bell and a baby monitor so she could call for a nurse. There was so much more but I do not recommend this facility!
Staff is wonderful!!! Beautiful new remodels. Courteous nursing staff and excellent therapy department. Respiratory department is fantastic.
I will not recommend this place to anyone. That's all I'm going to say for now. I will repeat it again....I WILL NOT RECOMMEND THIS PLACE TO ANYONE!!!
My brother in law looks like he has been starved. They said they would do physical therapy and have not done anything.
My friend sent me a picture of her sad pitiful lunch. The meat had something green on it like it was molded. You don't feed a dog molded meat might a lest a recovering patient. This place is a sham.
This place
Nurses are lazy and mean. They talk about the other residents and how much they dont like their jobs.
Wife turns call light on and no one comes for over 2 hrs. Patients get talked to hatefully. Left wet and dirty for over 5 hrs. Among other things talked to management and nothing gets fixed. Trying to get her out of there
Adaptive Rehabilitation (formerly Reliant Rehabilitation of Roanoke) and Accordius Of Roanoke (previously Avante).ABOVE & BEYOND CARE AND REHABILITATIONAdaptive Rehabilitation has an awesome staff at Accordius of Roanoke! And I would like to take a moment to express my thankfulness and admiration towards this staff.After having 12 surgeries in a short period of time, including extensive arterial surgeries, a broken hip surgery, and a below the knee leg amputation, I was in a sad state. Doctors had told my family that I would die soon, or would be confined to a nursing facility for the rest of my life.Six months of 2018 I don't even remember! This includes breaking a hip at Radford Rehabilitation. A helicopter flight from Roanoke Memorial Hospital to the University of Virginia Medical Center in the middle of the night! Stays at several different nursing homes and hospitals, including Roanoke Memorial (intensive care), University of Virginia (intensive care), Radford Nursing and Rehab., Wytheville Hospital, Carrington Nursing Home in Rural Retreat, and Accordius of Roanoke (formerly Avante).The fine young Ladies at Accordius of Roanoke/Adaptive Rehabilitation, must have saw something in me that I couldn't at the time. They started working with me, first of all just to gain my confidence, and trust in them as friends. Remember at this time I was not in my right mind, to say the very least. Then while continuing to be my friends and confidants, they expertly worked with me on Physical Therapy, Social Interaction, and Confidence Building (Rachel), Occupational Therapy along with any everything else I needed! (Stacey), and SLP (speech language pathologist), Along with Nutrition, Memory Skills, and many other necessary social and interpersonal skills, (Marissa).They worked together as one team, under Stacey's supervision (Rehabilitation Program Manager), to bring me back, mentally and physically to be the best that I could be!!!They ALL had read my charts, and knew what I had been through. They knew how to motivate me, through kindness, understanding, and compassion.Believe me, their job is not easy. They are so much more than Therapists, and they gladly accepted those responsibilities, without complaint! They went so far beyond their job titles to do anything and everything it took to achieve their and their patients’ goals, and bring their patients to the very best outcomes possible.These are very intelligent people, 2 have Masters Degrees and 1 Doctorate!!! I have absolutely no doubt they could all have PhD's if they so chose to do so.I am a very observant person, and always have been. I watched as these ladies worked with each person and their needs, both physically and mentally, to fully enhance the patient’s growth. They DID NOT use the cookie cutter approach, even though they could have, and been perfectly accepted by medical standards. They chose to get to know each and every patient, and then form a strategy based on the needs and desires of the patient. All three were very personable, and easy to interact with. I cannot find any area that they lacked in! While I was sceptical of the Gym at first, I grew to love being around these great ladies!If you're looking for the very best and most advanced Physical Therapy, Occupational Therapy, and SLP (speech language pathology), I would very highly recommend this group!
Health and Fire Safety Deficiencies
The Center for Medicare and Medicaid report report health and fire safety deficiencies. Some of these deficiencies are more severe than others. The following table shows different levels of severity.
| Scope | |||
|---|---|---|---|
| Severity of Deficiency | Isolated | Pattern | Widespread |
| Immediate jeopardy to resident health or safety | J | K | L |
| Actual harm that is not immediate jeopardy | G | H | I |
| No actual harm with potential for more than minimal harm that is not immediate jeopardy | D | E | F |
| No actual harm with potential for minimal harm | A | B | C |
Fire Safety Deficiencies
| Survey Date | Correction Date | Letter | Category | Description |
|---|---|---|---|---|
| 2021-08-11 | 2022-02-01 | D | Egress Deficiencies | 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. |
| 2021-08-11 | 2021-11-10 | E | Egress Deficiencies | Have properly located and lighted "Exit" signs. |
| 2021-08-11 | 2021-11-10 | F | Smoke Deficiencies | Inspect, test, and maintain automatic sprinkler systems. |
| 2021-08-11 | 2021-09-21 | E | Smoke Deficiencies | Install corridor and hallway doors that block smoke. |
| 2021-08-11 | 2022-02-01 | E | Services Deficiencies | Have properly installed electrical wiring and gas equipment. |
| 2021-08-11 | 2021-09-21 | D | Miscellaneous Deficiencies | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. |
| 2021-08-11 | 2022-02-01 | F | Miscellaneous Deficiencies | To conduct inspection, testing and maintenance of fire doors by qualified individuals. |
| 2021-08-11 | 2021-09-21 | E | Gas, Vacuum, and Electrical Systems Deficiencies | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. |
| 2019-05-02 | 2019-07-17 | F | Egress Deficiencies | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
| 2019-05-02 | 2019-07-17 | F | Egress Deficiencies | Provide rooms that can be unlocked from inside without a key. |
| 2019-05-02 | 2019-07-17 | F | Egress Deficiencies | Have properly located and lighted "Exit" signs. |
| 2019-05-02 | 2019-07-17 | F | Smoke Deficiencies | Inspect, test, and maintain automatic sprinkler systems. |
| 2019-05-02 | 2019-07-17 | F | Smoke Deficiencies | Properly select, install, inspect, or maintain portable fire extinguishes. |
| 2019-05-02 | 2019-07-17 | F | Smoke Deficiencies | Install smoke barrier doors that can resist smoke for at least 20 minutes. |
| 2019-05-02 | 2019-07-17 | F | Miscellaneous Deficiencies | Have simulated fire drills held at unexpected times. |
| 2019-05-02 | 2019-07-17 | F | Miscellaneous Deficiencies | Have restrictions on the use of highly flammable decorations. |
| 2019-05-02 | 2019-07-17 | F | Gas, Vacuum, and Electrical Systems Deficiencies | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. |
| 2018-03-08 | 2018-04-18 | F | Egress Deficiencies | Keep aisles, corridors, and exits free of obstruction in case of emergency. |
| 2018-03-08 | 2018-04-18 | D | Smoke Deficiencies | Have properly installed hallway dispensers for alcohol-based hand rub. |
| 2018-03-08 | 2018-04-18 | F | Gas, Vacuum, and Electrical Systems Deficiencies | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. |
| 2018-03-08 | 2018-04-18 | F | Gas, Vacuum, and Electrical Systems Deficiencies | Have generator or other power source capable of supplying service within 10 seconds. |
Health Safety Deficiencies
| Survey Date | Correction Date | Letter | Category | Description |
|---|---|---|---|---|
| 2022-02-11 | E | E | Resident Rights Deficiencies | Honor the resident's right to manage his or her financial affairs. |
| 2022-02-11 | E | E | Resident Rights Deficiencies | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. |
| 2022-02-11 | D | D | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| 2022-02-11 | E | E | Resident Rights Deficiencies | 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. |
| 2022-02-11 | D | D | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. |
| 2022-02-11 | D | D | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| 2022-02-11 | D | D | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. |
| 2022-02-11 | E | E | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2022-02-11 | D | D | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| 2022-02-11 | D | D | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. |
| 2022-02-11 | G | G | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. |
| 2022-02-11 | E | E | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| 2022-02-11 | E | E | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. |
| 2022-02-11 | D | D | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. |
| 2022-02-11 | E | E | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| 2022-02-11 | D | D | Infection Control Deficiencies | Provide and implement an infection prevention and control program. |
| 2021-08-05 | D | D | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. |
| 2021-08-05 | D | D | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| 2021-08-05 | D | D | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. |
| 2021-08-05 | D | D | Resident Rights Deficiencies | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. |
| 2021-08-05 | D | D | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. |
| 2021-08-05 | D | D | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities |
| 2021-08-05 | E | E | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| 2021-08-05 | E | E | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| 2021-08-05 | E | E | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| 2021-08-05 | E | E | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2021-08-05 | G | G | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| 2021-08-05 | D | D | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| 2021-08-05 | D | D | Quality of Life and Care Deficiencies | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. |
| 2021-08-05 | D | D | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. |
| 2021-08-05 | D | D | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. |
| 2021-08-05 | D | D | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. |
| 2021-08-05 | D | D | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. |
| 2021-08-05 | D | D | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. |
| 2021-08-05 | D | D | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. |
| 2021-08-05 | D | D | Pharmacy Service Deficiencies | 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. |
| 2021-08-05 | D | D | Administration Deficiencies | Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. |
| 2021-08-05 | D | D | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| 2021-08-05 | D | D | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. |
| 2021-08-05 | E | E | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. |
| 2020-10-20 | E | E | Infection Control Deficiencies | Provide and implement an infection prevention and control program. |
| 2020-10-20 | E | E | Infection Control Deficiencies | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. |
| 2020-10-20 | E | E | Infection Control Deficiencies | Perform COVID19 testing on residents and staff. |
| 2019-04-26 | D | D | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| 2019-04-26 | D | D | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. |
| 2019-04-26 | D | D | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. |
| 2019-04-26 | D | D | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. |
| 2019-04-26 | D | D | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| 2019-04-26 | D | D | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. |
| 2019-04-26 | D | D | Resident Rights Deficiencies | 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. |
| 2019-04-26 | E | E | Resident Rights Deficiencies | 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. |
| 2019-04-26 | D | D | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| 2019-04-26 | D | D | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. |
| 2019-04-26 | E | E | Resident Rights Deficiencies | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. |
| 2019-04-26 | D | D | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. |
| 2019-04-26 | D | D | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. |
| 2019-04-26 | E | E | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| 2019-04-26 | E | E | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| 2019-04-26 | D | D | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. |
| 2019-04-26 | D | D | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2019-04-26 | G | G | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2019-04-26 | D | D | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| 2019-04-26 | D | D | Quality of Life and Care Deficiencies | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. |
| 2019-04-26 | D | D | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. |
| 2019-04-26 | D | D | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. |
| 2019-04-26 | D | D | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. |
| 2019-04-26 | D | D | Quality of Life and Care Deficiencies | Provide medically-related social services to help each resident achieve the highest possible quality of life. |
| 2019-04-26 | E | E | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| 2019-04-26 | D | D | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. |
| 2019-04-26 | D | D | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. |
| 2019-04-26 | E | E | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. |
| 2019-04-26 | D | D | Pharmacy Service Deficiencies | 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. |
| 2019-04-26 | D | D | Administration Deficiencies | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. |
| 2019-04-26 | D | D | Nutrition and Dietary Deficiencies | Provide special eating equipment and utensils for residents who need them and appropriate assistance. |
| 2019-04-26 | E | E | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2019-04-26 | E | E | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| 2019-04-26 | F | F | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. |
| 2019-04-26 | E | E | Infection Control Deficiencies | Provide and implement an infection prevention and control program. |
| 2019-04-26 | E | E | Infection Control Deficiencies | Implement a program that monitors antibiotic use. |
| 2019-08-21 | E | E | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| 2019-08-21 | D | D | Resident Rights Deficiencies | 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. |
| 2019-08-21 | D | D | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. |
| 2019-08-21 | E | E | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2019-08-21 | D | D | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| 2019-08-21 | D | D | Quality of Life and Care Deficiencies | 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. |
| 2019-08-21 | D | D | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| 2019-08-21 | E | E | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| 2019-08-21 | E | E | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. |
| 2018-02-15 | D | D | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted |
| 2018-02-15 | D | D | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| 2018-02-15 | D | D | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2018-02-15 | D | D | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| 2018-02-15 | D | D | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. |
| 2018-02-15 | D | D | Quality of Life and Care Deficiencies | Provide for the safe, appropriate administration of IV fluids for a resident when needed. |
| 2018-02-15 | D | D | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| 2018-02-15 | E | E | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. |
| 2018-02-15 | E | E | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. |
| 2018-02-15 | E | E | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2018-02-15 | D | D | Infection Control Deficiencies | Provide and implement an infection prevention and control program. |
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