Federal Nursing-Home Survey Record
LIBERTY RETIREMENT COMMUNITY OF LIMA INC
Does LIBERTY RETIREMENT COMMUNITY OF LIMA INC have a federal violation or abuse history?
According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), LIBERTY RETIREMENT COMMUNITY OF LIMA INC (CCN 365936), in LIMA, OH, has federal inspection findings on its record.
In its current inspection cycle, CMS cited the facility for 27 deficiencies; the most serious carries scope/severity J on CMS's A–L scale, a level CMS classifies as Immediate Jeopardy. The most recent federal survey on file is dated 2024-05-08. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. This page restates the federal record as published by CMS and draws no conclusion of its own. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.
The Federal Record
At its most recent federal inspection, CMS cited this facility for an Immediate Jeopardy deficiency.
Below is this facility's federal survey record as on file with CMS.
Scope & Severity — current cycle
Overall CMS star rating: this facility vs the CMS-published state average
This facility: 2 · CMS state average: 3.2
Deficiency timeline — full federal history
Provide safe and appropriate respiratory care for a resident when needed.
Provide and implement an infection prevention and control program.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Ensure that residents are free from significant medication errors.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide activities to meet all resident's needs.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Have enough outside ventilation via a window or mechanical ventilation, or both.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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.
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Reasonably accommodate the needs and preferences of each resident.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
25 citations from earlier inspection cycles — historical, not current (expand)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Ensure that residents are free from significant medication errors.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide or get specialized rehabilitative services as required for a resident.
Provide timely, quality laboratory services/tests to meet the needs of residents.
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.
Reasonably accommodate the needs and preferences of each resident.
Provide appropriate foot care.
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Ensure that residents are free from significant medication errors.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure medication error rates are not 5 percent or greater.
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide and implement an infection prevention and control program.
Document what happened
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