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San Rafael Health and Rehabilitation
Citations
All citations for San Rafael Health and Rehabilitation
54 citations on record from CMS and state agencies, sorted most recent first. Located in Ferron, UT.
Date
Source
Tag
Severity
Description
Status
2024-11-15
cms
0656
No Actual Harm, Potential More Than Minimal (E)
Develop and implement a complete care plan that meets all the resident''s needs, with timetables and actions that can be measured.
2024-11-15
cms
0690
No Actual Harm, Potential More Than Minimal (D)
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
2024-11-15
cms
0756
No Actual Harm, Potential More Than Minimal (D)
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
2024-11-15
cms
0758
No Actual Harm, Potential More Than Minimal (D)
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.
2024-11-15
cms
0812
No Actual Harm, Potential More Than Minimal (F)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
2024-11-15
cms
0880
No Actual Harm, Potential More Than Minimal (E)
Provide and implement an infection prevention and control program.
2024-11-15
cms
0565
No Actual Harm, Potential More Than Minimal (E)
Honor the resident''s right to organize and participate in resident/family groups in the facility.
2024-11-15
cms
0600
Immediate Jeopardy (J)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-11-15
cms
0609
Immediate Jeopardy (J)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2024-11-15
cms
0610
Immediate Jeopardy (J)
Respond appropriately to all alleged violations.
2024-11-15
cms
0658
No Actual Harm, Potential More Than Minimal (E)
Ensure services provided by the nursing facility meet professional standards of quality.
2024-11-15
cms
0689
Actual Harm (G)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-11-15
cms
0842
No Actual Harm, Potential More Than Minimal (D)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
2024-11-15
cms
0943
No Actual Harm, Potential More Than Minimal (F)
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
2024-11-15
state
F0656-20241115-E
No Actual Harm, Potential More Than Minimal (E)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2024-11-15
state
F0690-20241115-D
No Actual Harm, Potential More Than Minimal (D)
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
2024-11-15
state
F0756-20241115-D
No Actual Harm, Potential More Than Minimal (D)
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
2024-11-15
state
F0758-20241115-D
No Actual Harm, Potential More Than Minimal (D)
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.
2024-11-15
state
F0812-20241115-F
No Actual Harm, Potential More Than Minimal (F)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
2024-11-15
state
F0880-20241115-E
No Actual Harm, Potential More Than Minimal (E)
Provide and implement an infection prevention and control program.
2024-11-15
state
F0565-20241115-E
No Actual Harm, Potential More Than Minimal (E)
Honor the resident's right to organize and participate in resident/family groups in the facility.
2024-11-15
state
F0600-20241115-J
Immediate Jeopardy (J)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-11-15
state
F0609-20241115-J
Immediate Jeopardy (J)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2024-11-15
state
F0610-20241115-J
Immediate Jeopardy (J)
Respond appropriately to all alleged violations.
2024-11-15
state
F0658-20241115-E
No Actual Harm, Potential More Than Minimal (E)
Ensure services provided by the nursing facility meet professional standards of quality.
2024-11-15
state
F0689-20241115-G
Actual Harm (G)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-11-15
state
F0842-20241115-D
No Actual Harm, Potential More Than Minimal (D)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
2024-11-15
state
F0943-20241115-F
No Actual Harm, Potential More Than Minimal (F)
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
2023-03-15
cms
0585
No Actual Harm, Potential More Than Minimal (E)
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.
2023-03-15
cms
0712
No Actual Harm, Potential More Than Minimal (E)
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
2023-03-15
cms
0756
No Actual Harm, Potential More Than Minimal (D)
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
2023-03-15
state
F0585-20230315-E
No Actual Harm, Potential More Than Minimal (E)
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.
2023-03-15
state
F0712-20230315-E
No Actual Harm, Potential More Than Minimal (E)
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
2023-03-15
state
F0756-20230315-D
No Actual Harm, Potential More Than Minimal (D)
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
2021-06-17
cms
0656
No Actual Harm, Potential More Than Minimal (D)
Develop and implement a complete care plan that meets all the resident''s needs, with timetables and actions that can be measured.
2021-06-17
cms
0689
Actual Harm (G)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2021-06-17
cms
0690
No Actual Harm, Potential More Than Minimal (D)
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
2021-06-17
cms
0697
Actual Harm (G)
Provide safe, appropriate pain management for a resident who requires such services.
2021-06-17
cms
0712
No Actual Harm, Potential More Than Minimal (E)
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
2021-06-17
cms
0756
No Actual Harm, Potential More Than Minimal (E)
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
2021-06-17
cms
0758
No Actual Harm, Potential More Than Minimal (E)
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.
2021-06-17
cms
0770
No Actual Harm, Potential More Than Minimal (D)
Provide timely, quality laboratory services/tests to meet the needs of residents.
2021-06-17
cms
0842
No Actual Harm, Potential More Than Minimal (E)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
2021-06-17
cms
0868
No Actual Harm, Potential Minimal (C)
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
2021-06-17
state
F0656-20210617-D
No Actual Harm, Potential More Than Minimal (D)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2021-06-17
state
F0689-20210617-G
Actual Harm (G)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2021-06-17
state
F0690-20210617-D
No Actual Harm, Potential More Than Minimal (D)
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
2021-06-17
state
F0697-20210617-G
Actual Harm (G)
Provide safe, appropriate pain management for a resident who requires such services.
2021-06-17
state
F0712-20210617-E
No Actual Harm, Potential More Than Minimal (E)
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
2021-06-17
state
F0756-20210617-E
No Actual Harm, Potential More Than Minimal (E)
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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