Abbey Rehabilitation and Nursing Center

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

Tag F0609 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Jul 25, 2026

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

Tag F0550 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction May 2, 2026

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.

Tag F0584 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction May 2, 2026

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

Tag F0607 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction May 2, 2026

PASARR screening for Mental disorders or Intellectual Disabilities

Tag F0645 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction May 2, 2026

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

Tag F0656 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction May 2, 2026

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Tag F0657 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction May 2, 2026

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

Tag F0677 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction May 2, 2026

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

Tag F0684 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction May 2, 2026

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

Tag F0690 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction May 2, 2026

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

Tag F0695 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction May 2, 2026

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Tag F0725 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction May 2, 2026

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Tag F0741 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction May 2, 2026

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Tag F0756 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction May 2, 2026

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

Tag F0812 · CMS scope and severity F (no actual harm, potential for more than minimal harm; widespread) · Deficient, Provider has date of correction May 2, 2026

Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

Tag F0840 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction May 2, 2026

Provide and implement an infection prevention and control program.

Tag F0880 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction May 2, 2026

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

Tag F0600 · CMS scope and severity G (actual harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Jan 12, 2025

Provide and implement an infection prevention and control program.

Tag F0880 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Jan 12, 2025

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.

Tag F0585 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Feb 23, 2024

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

Tag F0600 · CMS scope and severity K (immediate jeopardy; pattern) · from a complaint inspection · Deficient, Provider has date of correction Feb 23, 2024

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

Tag F0609 · CMS scope and severity K (immediate jeopardy; pattern) · from a complaint inspection · Deficient, Provider has date of correction Feb 23, 2024

Respond appropriately to all alleged violations.

Tag F0610 · CMS scope and severity K (immediate jeopardy; pattern) · from a complaint inspection · Deficient, Provider has date of correction Feb 23, 2024

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Tag F0678 · CMS scope and severity K (immediate jeopardy; pattern) · from a complaint inspection · Deficient, Provider has date of correction Feb 23, 2024

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Tag F0773 · CMS scope and severity K (immediate jeopardy; pattern) · from a complaint inspection · Deficient, Provider has date of correction Feb 23, 2024

Ensure each resident receives an accurate assessment.

Tag F0641 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Nov 12, 2023

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Tag F0657 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Nov 12, 2023

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

Tag F0684 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Nov 12, 2023

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

Tag F0690 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Nov 12, 2023

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

Tag F0695 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Nov 12, 2023

Ensure medication error rates are not 5 percent or greater.

Tag F0759 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Nov 12, 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.

Tag F0803 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Nov 12, 2023

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

Tag F0812 · CMS scope and severity F (no actual harm, potential for more than minimal harm; widespread) · Deficient, Provider has date of correction Nov 12, 2023

Meet other general requirements.

Tag K0200 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Nov 12, 2023

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Tag K0225 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Nov 12, 2023

Have approved installation, maintenance and testing program for fire alarm systems.

Tag K0345 · CMS scope and severity F (no actual harm, potential for more than minimal harm; widespread) · Deficient, Provider has date of correction Nov 12, 2023

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Tag K0741 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Nov 12, 2023

Have approved installation, maintenance and testing program for fire alarm systems.

Tag K0345 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Oct 3, 2021

Install an approved automatic sprinkler system.

Tag K0351 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Oct 3, 2021