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Salmon Brook Rehab And Nursing
72 Salmon Brook Drive, Glastonbury, CT 06033
Based on 39 reviews
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Services and Housing OptionsNursing Home
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Salmon Brook Rehab And Nursing Description
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Information from Centers for Medicare & Medicaid ServicesThis nursing community has been given an overall rating of 2 out of 5 stars by The Center for Medicare and Medicaid receiving 1 stars on its health inspection, 5 stars on its quality measures rating, and 2 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 5-star short-stay rating and a 5-star long-stay rating. This nursing home is certified by Medicare and Medicaid and was first approved to provide Medicare and Medicaid services on 01/01/67 and is run by a for profit organization. It is a large-sized nursing community with 130 nursing beds. Currently, there are 116 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 ServicesThis community has been cited for abuse by The Center for Medicare and Medicaid Services. Either the facility has been cited in inspection reports for abuse that caused a resident harm within the past year or abuse that could have potentially caused residents harm in the past two years. This facility has been given 3 fines by The Centers for Medicare & Medicaid Services for a total of $44,250.00. The facility has also had 3 substantiated complaints reported in the last 3 years that resulted in a citation. The facility has had 5 facility incidents reported in the last 3 years that resulted in a citation.
Overall RatingsThe Salmon Brook Rehab and Nursing Home has a relatively low overall rating of two stars, placing it in the bottom 40% of similar facilities. This rating is below the state average, suggesting room for overall improvement. Additionally, this nursing home fares even poorer when it comes to health inspection ratings, with the lowest possible one-star rating, bringing it down to the bottom 10% of facilities within this category in the state. However, despite these areas of concern, the Salmon Brook Rehab and Nursing Home excels in terms of quality, boasting the highest possible five-star rating. This commendable accomplishment sets it apart in the top 20% of facilities in the state, exceeding the state average in providing quality service and care to its residents.
Staff RatingsSalmon Brook Rehab And Nursing home, despite its 2-star staff rating, presents a varied picture in terms of staff availability and care provided. When measured in terms of nursing aid staffing, with 1.98 hours per resident per day, it falls in the bottom 40% of the facilities falling below the state average of 2.14 hours. This trend extends to their LPN staffing as well, with 0.72 hours per resident per day, they are located again in the bottom 40% and are below the state's average of 0.82 hours. However, the facility shines in terms of RN staffing, registering at 0.84 hours which is notably higher than the state's average of 0.72 hours, putting it in the top 30% of facilities. In addition, Salmon Brook is among the top 40% facilities regarding licensed staffing hours, with 1.56 hours per resident per day, marginally higher than state's average of 1.55 hours. Still, the facility trails in terms of physical therapist staffing, providing only 0.02 hours against the state's 0.09 hours thus landing it in the bottom 30% of facilities.
Covid DataSalmon Brook Rehab and Nursing upholds an impressive record being in the top 40% of nursing facilities regarding their resident's up-to-date vaccination rate. Standing at an impressive 74.5%, this figure significantly surpasses the state's average vaccination rate which is 68.5%. This achievement is a testament to their commitment to ensuring the health and well-being of their residents. However, when it comes to the staff's up-to-date vaccinations, Salmon Brook does fall short, falling in the bottom half of facilities. The staff's vaccination rate stands at a low 15.6%, which is considerably less than the state average of 24.1%, indicating that there is scope for improving staff vaccinations at the facility.
Quality MeasuresThe Salmon Brook Rehab and Nursing Home is a distinguished establishment with a 5-star quality measure rating, demonstrating its commitment to exceptional patient care. However, it trails behind in immunization efforts, resting in the bottom 10% of facilities for the pneumococcal vaccination rate, with only 36.36% of residents vaccinated, significantly lower than the state's norm of 83.32%. It also ranks in the lower 20% of facilities concerning flu vaccinations, maintaining a rate of 90.05%, slightly less than the state's average of 92.71%. Interestingly, in terms of bladder care, Salmon Brook is in the top 40% of facilities with 0.5% of its residents having a catheter inserted, coming in under the state's percentage of 1.22%. Despite these variants, Salmon Brook's status as a 5-star facility indicates their overall quality of patient care.
Emergency and Hospitalization Quality MeasuresSalmon Brook Rehab And Nursing, a nursing home, finds itself in the lower 10% of facilities for hospitalizations per 1000 days, posting a rate of 2.83, which exceeds the state's rate of 1.93. In terms of outpatient emergency department visits per 1000 days, the facility ranks in the bottom 40%, carrying a rate of 1.22 compared to the state's lower 0.96. However, in the realm of short-stay residents who had outpatient emergency department visits, Salmon Brook is performing better, ranking in the top 40% of facilities with a rate of 9.71, falling below the state's rate of 12.34. But the facility finds itself in the bottom half when considering the percentage of short-stay residents requiring rehospitalization after a nursing home admission, at 23.31%, slightly lower than the state's percentage of 23.58%.
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This rehabilitation center only will get 2 Stars from me. My mother was there temporarily for rehabilitation and she looked good as far as her care. The furniture in the patients rooms are very old and worn and the place reeks with the smell of urine. I get it that most of their patients, residents have no bladder control but I work in a hospital with the same issue and it doesn't smell. Nobody knew that my mom was being discharged and she( mom) was frustrated because we both thought everyone was aware. One hand definitely does not talk to the other at Salmon Brooke.
I went to the Salmon Brook Rehab/Convalescent home today for the first time and was appalled at the shabbiness of the facility. The staff was completely unprofessional except for two that I met, there was loud music playing through their sound system, (like at a fitness gym), the unit was extremely hot (faulty heating/air conditioning system), a travel that I tried to sit in (in the lounge) almost collapsed on me, (the seat was detached), and the building itself looked old. The friend I was visiting said the food was terrible, and gave examples, and the service was lazy. From what I was seeing I did not doubt. PLEASE look for anything else than this home. Believe me, this place is no home for humans. I will never return!
Salmon Brook is utterly disgusting. The staff is very rude and unprofessional. The food isn't fit for animal consumption. The rooms might get cleaned once a week. I purposely threw a food wrapper on the floor and it stayed there for 9 days. I've been asking to be transferred to another facility and all I get are lies and excuses. In less than 2 weeks there were 2 mistakes on food orders and 1 (that I'm aware of) on medication. In my opinion this facility has got to be one of the worst in the area. At least I would hope so.
THis is one of the worst facilities I have visited. I have a friend here in the transitional care area. I doubt she will ever be able to return home. The place is dirty, the attention given to her is non-existent. The staff is so unfriendly. They don't even deliver water every day and if water is delivered there are no cups. Leftover sticky things in the room from day old food covers. Remote for tv was found by us under the bed. Staff would not look for it. Everything we have asked staff for is not delivered without asking at least twice, sometimes more. I plan on calling a staff management person to find out what the EXPECTED level of care is in the Transitional Unit because in my opinion, there is nothing.
Incredibly disappointed in the lack of care and humanity shown at this facility. We sought out this facility to aid my sick grandmother in getting better. Nursing staff was cruel, insensitive and inattentive to their residents. The facility itself is incredibly dirty and the lack of resources is innumerable. I hope and pray for those stuck in that facility and hope that there is awareness and a change someday soon to better care for the residents in this atrocious facility.
Keep your loved ones out of here. The nursing care is non existent. I have worked in skilled nursing homes in this state as a therapist and regret ever day sending my mom for short term rehab at Salmonbrook. It is dirty and short staffed. I pray for the residents that are here. I had to yell at the director of nursing in order to seek urgent medical care.
I have heard horror stories about leaving loved ones at Nursing Homes and Rehab centers but couldn't imagine that they could be true. Well, not until we had a situation whereby my father-in-law who suffers from early Alzheimers/dimentia but very much aware of right and wrong and fully capable of communicating his needs and wants. He fell about 4 weeks ago and we thought it was a good idea to bring him to HH ED to make sure that he was ok. HH thought some rehab was in order, so we admitted him to Salmon Brook, wow, if we could do it all over again!! My mother-in-law visited him every day, brought him snacks, change of clothes, etc... but on a number of occasion, he was not even wearing his own clothing?? Go figure... when she asked about taking his dirty laundry home, the response was that he had none. We found this to very true, because not only did he not have dirty clothing, in almost 3 weeks of being there, he had not been showered. To get updates on his condition, on his expected date of discharge, his lack of being cleaned, etc was non-existent. He cried daily to leave, he explained why he wanted out and actually was attempting to climb out the window during one of the visits but my mother-in-law assured him he would be leaving. We need to take care of these people that built our cities, our communities, those that fought and engaged in what we all have today, those that have been an intricate and integral part of our past. They have their dignity and I for one am very sorry we ever agreed to have him stay at Salmon Brook. I would not wish that stay on my enemy!! Shameful, absolutely shameful. I hope that these posts are reviewed because his stay was an absolute nightmare and someone should be auditing and investigating this horrible care.
I was a nurse there and if I could give them a negative I most definitely would. I just started in August and my husband had covid19 symptoms I let the facility know. I stayed home with him, untill I had his results he was negative but had pneumonia. They gave my job away and said I didn't finish orientation well they never gave me a chance to finish. I can only assume that they would have preferred me to go in and finish orientation and risk other residents lives. That alone boggles my mind what kind of place would do that.
My grandmother came to Salmon Brook from Hartford Hospital in the midst of Covid. We were very nervous but she needed therapy after her surgery. The staff were amazing. The team communicated with us constantly letting us know how Grandma was doing, we had a bunch of FaceTime calls and Grandma was doing great. She's back home now recovering after a terrific stay. I can't speak highly enough about the entire team and the experience at Salmon Brook. Thank you all!
If I were able to give negative stars, I would. Luckily my mother has just moved out of this death trap of a facility, and the wound on her foot is being evaluated by staff at her new residence. They found that in the three weeks since her accident occurred at Salmon Brook, the wound has become so severe, they do not feel Salmon Brook properly cared for it while under their supervision.This is not the first problem she had there, simply the most recent. The four staff members and few volunteers that made her stay there bearable are not enough to ensure proper care for the residents. When you have to be hospitalized for severe constipation, that is not normal. And when the supervising nurse is condescending and unwilling to help; the frustration makes you find an alternative residence... and legal guidance.This facility used to be wonderful... so sad to see how terrible it has become.If you love your family member, do not put them in this facility.
This place is awful I shared a room with someone who accused me of theft and of changing channels on her tv to which my remote didn't work, A supervisor came in and said I couldn't behave like that as it was an institution. She took this woman's word without hearing my side. She stated the resident had been here a long time.( Probably figured appease the long term patient $$$$) I was deeply offended and sought to have the woman reprimanded for handling the situation so poorly. I asked to speak with someone on a daily basis and was given the run around, When a social worker came back to work, I was told I waited to long to follow up with someone and to let it go, All I wanted was an apology for such unproffesional behavior.Aside from that the nurses aids are overworked and the quality of food leaves a lot to be desired. They cut corners whereBeware do not leave your loved ones here. From what I've seen most of the patients can't advocate for them selves and the staff takes full advantage ,of this. This is my second review as the last one disappeared. This time I'l use cut and paste and check daily to see if I need to repost.
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.
|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|
|2023-05-30||2023-07-12||D||Egress Deficiencies||Keep aisles, corridors, and exits free of obstruction in case of emergency.|
|2023-05-30||2023-07-12||D||Egress Deficiencies||Install emergency lighting that can last at least 1 1/2 hours.|
|2023-05-30||2023-07-12||D||Smoke Deficiencies||Provide properly protected cooking facilities.|
|2023-05-30||2023-07-12||F||Smoke Deficiencies||Have approved installation, maintenance and testing program for fire alarm systems.|
|2023-05-30||2023-07-12||E||Smoke Deficiencies||Install an approved automatic sprinkler system.|
|2023-05-30||2023-07-12||D||Smoke Deficiencies||Inspect, test, and maintain automatic sprinkler systems.|
|2023-05-30||2023-07-12||E||Services Deficiencies||Meet other general requirements that are deficient.|
|2023-05-30||2023-07-12||F||Miscellaneous Deficiencies||Provide a written emergency evacuation plan.|
|2023-05-30||2023-07-12||E||Miscellaneous Deficiencies||Have simulated fire drills held at unexpected times.|
|2023-05-30||2023-07-12||D||Miscellaneous Deficiencies||To conduct inspection, testing and maintenance of fire doors by qualified individuals.|
|2023-05-30||2023-07-12||D||Gas, Vacuum, and Electrical Systems Deficiencies||Have generator or other power source capable of supplying service within 10 seconds.|
|2023-05-30||2023-07-12||D||Gas, Vacuum, and Electrical Systems Deficiencies||Meet requirements for the use of electrical equipment.|
|2023-05-30||2023-07-12||F||Gas, Vacuum, and Electrical Systems Deficiencies||Ensure proper usage of power strips and extension cords.|
|2023-05-30||2023-07-12||F||Gas, Vacuum, and Electrical Systems Deficiencies||Ensure that testing and maintenance of electrical equipment is performed.|
|2021-03-03||2021-05-19||F||Egress Deficiencies||Install emergency lighting that can last at least 1 1/2 hours.|
|2021-03-03||2021-05-19||D||Smoke Deficiencies||Install an approved automatic sprinkler system.|
|2021-03-03||2021-05-19||D||Smoke Deficiencies||Inspect, test, and maintain automatic sprinkler systems.|
|2021-03-03||2021-05-19||F||Miscellaneous Deficiencies||Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.|
|2021-03-03||2021-05-19||E||Gas, Vacuum, and Electrical Systems Deficiencies||Have generator or other power source capable of supplying service within 10 seconds.|
|2019-06-28||2019-10-02||D||Egress Deficiencies||Keep aisles, corridors, and exits free of obstruction in case of emergency.|
|2019-06-28||2019-08-11||D||Smoke Deficiencies||Install corridor and hallway doors that block smoke.|
Health Safety Deficiencies
|Survey Date||Correction Date||Letter||Category||Description|
|2023-04-27||J||J||Quality of Life and Care Deficiencies||Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.|
|2023-03-22||D||D||Freedom from Abuse, Neglect, and Exploitation Deficiencies||Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.|
|2023-03-22||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.|
|2022-12-01||D||D||Freedom from Abuse, Neglect, and Exploitation Deficiencies||Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.|
|2022-12-01||D||D||Freedom from Abuse, Neglect, and Exploitation Deficiencies||Respond appropriately to all alleged violations.|
|2022-12-01||D||D||Freedom from Abuse, Neglect, and Exploitation Deficiencies||Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.|
|2023-06-08||D||D||Resident Rights Deficiencies||Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.|
|2023-06-08||D||D||Resident Rights Deficiencies||Allow resident to participate in the development and implementation of his or her person-centered plan of care.|
|2023-06-08||D||D||Resident Rights Deficiencies||Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.|
|2023-06-08||C||C||Resident Rights Deficiencies||Assure the security of all personal funds of residents deposited with the facility.|
|2023-06-08||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.|
|2023-06-08||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.|
|2023-06-08||D||D||Freedom from Abuse, Neglect, and Exploitation Deficiencies||Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.|
|2023-06-08||D||D||Freedom from Abuse, Neglect, and Exploitation Deficiencies||Develop and implement policies and procedures to prevent abuse, neglect, and theft.|
|2023-06-08||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.|
|2023-06-08||D||D||Freedom from Abuse, Neglect, and Exploitation Deficiencies||Respond appropriately to all alleged violations.|
|2023-06-08||E||E||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.|
|2023-06-08||B||B||Resident Assessment and Care Planning Deficiencies||Encode each residentâ€™s assessment data and transmit these data to the State within 7 days of assessment.|
|2023-06-08||E||E||Resident Assessment and Care Planning Deficiencies||Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.|
|2023-06-08||D||D||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.|
|2023-06-08||D||D||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.|
|2023-06-08||D||D||Resident Assessment and Care Planning Deficiencies||Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.|
|2023-06-08||D||D||Quality of Life and Care Deficiencies||Provide care and assistance to perform activities of daily living for any resident who is unable.|
|2023-06-08||E||E||Quality of Life and Care Deficiencies||Provide appropriate treatment and care according to orders, residentâ€™s preferences and goals.|
|2023-06-08||D||D||Quality of Life and Care Deficiencies||Provide appropriate pressure ulcer care and prevent new ulcers from developing.|
|2023-06-08||D||D||Quality of Life and Care Deficiencies||Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.|
|2023-06-08||D||D||Quality of Life and Care Deficiencies||Provide safe and appropriate respiratory care for a resident when needed.|
|2023-06-08||D||D||Quality of Life and Care Deficiencies||Provide safe, appropriate dialysis care/services for a resident who requires such services.|
|2023-06-08||D||D||Nursing and Physician Services Deficiencies||Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.|
|2023-06-08||D||D||Nursing and Physician Services Deficiencies||Post nurse staffing information every day.|
|2023-06-08||D||D||Quality of Life and Care Deficiencies||Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.|
|2023-06-08||E||E||Quality of Life and Care Deficiencies||Provide medically-related social services to help each resident achieve the highest possible quality of life.|
|2023-06-08||E||E||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.|
|2023-06-08||E||E||Nutrition and Dietary Deficiencies||Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.|
|2023-06-08||D||D||Nutrition and Dietary Deficiencies||Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.|
|2023-06-08||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.|
|2023-06-08||B||B||Nutrition and Dietary Deficiencies||Dispose of garbage and refuse properly.|
|2023-06-08||D||D||Administration Deficiencies||Hire a qualified full-time social worker in a facility with more than 120 beds.|
|2023-06-08||D||D||Administration Deficiencies||Have a plan that describes the process for conducting QAPI and QAA activities.|
|2023-06-08||D||D||Infection Control Deficiencies||Provide and implement an infection prevention and control program.|
|2023-06-08||D||D||Infection Control Deficiencies||Develop and implement policies and procedures for flu and pneumonia vaccinations.|
|2023-06-08||D||D||Infection Control Deficiencies||Report COVID19 data to residents and families.|
|2023-06-08||D||D||Infection Control Deficiencies||Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.|
|2023-06-08||D||D||Environmental Deficiencies||Keep all essential equipment working safely.|
|2022-05-05||D||D||Freedom from Abuse, Neglect, and Exploitation Deficiencies|
|2021-03-10||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.|
|2021-03-10||D||D||Freedom from Abuse, Neglect, and Exploitation Deficiencies||Respond appropriately to all alleged violations.|
|2021-03-10||D||D||Quality of Life and Care Deficiencies||Provide appropriate pressure ulcer care and prevent new ulcers from developing.|
|2021-03-10||D||D||Pharmacy Service Deficiencies||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.|
|2021-03-10||D||D||Infection Control Deficiencies||Provide and implement an infection prevention and control program.|
|2021-02-17||D||D||Infection Control Deficiencies||Provide and implement an infection prevention and control program.|
|2021-01-13||D||D||Infection Control Deficiencies||Provide and implement an infection prevention and control program.|
|2020-12-01||D||D||Infection Control Deficiencies||Provide and implement an infection prevention and control program.|
|2020-10-17||D||D||Infection Control Deficiencies||Provide and implement an infection prevention and control program.|
|2020-10-17||D||D||Infection Control Deficiencies||Perform COVID19 testing on residents and staff.|
|2020-10-17||D||D||Environmental Deficiencies||Keep all essential equipment working safely.|
|2020-12-01||D||D||Resident Rights Deficiencies||Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.|
|2020-12-01||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.|
|2020-12-01||D||D||Resident Assessment and Care Planning Deficiencies||Ensure services provided by the nursing facility meet professional standards of quality.|
|2020-09-24||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.|
|2020-09-24||D||D||Freedom from Abuse, Neglect, and Exploitation Deficiencies||Respond appropriately to all alleged violations.|
|2020-09-24||B||B||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.|
|2019-07-03||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.|
|2019-07-03||B||B||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.|
|2019-07-03||B||B||Resident Assessment and Care Planning Deficiencies||Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.|
|2019-07-03||D||D||Resident Assessment and Care Planning Deficiencies||Assess the resident when there is a significant change in condition|
|2019-07-03||B||B||Resident Assessment and Care Planning Deficiencies||Assure that each residentâ€™s assessment is updated at least once every 3 months.|
|2019-07-03||B||B||Resident Assessment and Care Planning Deficiencies||Ensure each resident receives an accurate assessment.|
|2019-07-03||D||D||Quality of Life and Care Deficiencies||Provide care and assistance to perform activities of daily living for any resident who is unable.|
|2019-07-03||D||D||Quality of Life and Care Deficiencies||Provide appropriate treatment and care according to orders, residentâ€™s preferences and goals.|
|2019-07-03||D||D||Quality of Life and Care Deficiencies||Provide appropriate pressure ulcer care and prevent new ulcers from developing.|
|2019-07-03||D||D||Quality of Life and Care Deficiencies||Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.|
|2019-07-03||D||D||Quality of Life and Care Deficiencies||Provide enough food/fluids to maintain a resident's health.|
|2019-07-03||D||D||Nursing and Physician Services Deficiencies||Observe each nurse aide's job performance and give regular training.|
|2019-07-03||E||E||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.|
|2019-07-03||E||E||Pharmacy Service Deficiencies||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.|
|2019-07-03||E||E||Nutrition and Dietary Deficiencies||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.|
|2019-07-03||D||D||Quality of Life and Care Deficiencies||Provide or get specialized rehabilitative services as required for a resident.|
|2019-07-03||C||C||Administration Deficiencies||Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.|
|2019-07-03||D||D||Infection Control Deficiencies||Provide and implement an infection prevention and control program.|
|2019-07-03||D||D||Infection Control Deficiencies||Develop and implement policies and procedures for flu and pneumonia vaccinations.|
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