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Deficiency Records for Jacob Healthcare Center
A list of the most recent deficiencies for Jacob Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Jacob Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-31 | 2024-02-21 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-01-31 | 2024-02-21 | Y |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-10-13 | 2023-10-13 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-07-12 | 2023-08-07 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-07-12 | 2023-08-07 | Y |
| 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. | Health | 2022-09-07 | 2022-10-05 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-02-28 | 2022-03-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-28 | 2022-03-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-04 | 2021-11-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-11 | 2021-07-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-06-11 | 2021-07-10 | N |
| 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. | Health | 2021-06-11 | 2021-07-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-11 | 2021-07-10 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-06-11 | 2021-07-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-11 | 2021-07-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-06-11 | 2021-07-10 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-06-14 | 2021-07-07 | N |
| Use approved construction type or materials. | Fire Safety | 2021-06-14 | 2021-07-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-14 | 2021-07-07 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-06-14 | 2021-07-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-14 | 2021-07-07 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-10-23 | 2019-11-19 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-10-23 | 2019-11-19 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-10-23 | 2019-11-19 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-10-23 | 2019-11-19 | N |
| Use approved construction type or materials. | Fire Safety | 2019-10-23 | 2019-11-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-10-23 | 2019-11-19 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-10-23 | 2019-11-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-23 | 2019-11-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-10-23 | 2019-11-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-23 | 2019-11-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-10-23 | 2019-11-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-23 | 2019-11-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-23 | 2019-11-19 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-09-19 | 2019-10-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-19 | 2019-10-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-19 | 2019-10-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-19 | 2019-10-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-19 | 2019-10-18 | N |
| Use approved construction type or materials. | Fire Safety | 2018-11-16 | 2018-12-05 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-11-16 | 2018-12-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-16 | 2018-12-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-16 | 2018-12-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-09-17 | 2018-10-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-17 | 2018-10-16 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-09-17 | 2018-10-16 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-09-17 | 2018-10-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-17 | 2018-10-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-09-17 | 2018-10-16 | N |
| Provide appropriate foot care. | Health | 2018-09-17 | 2018-10-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-17 | 2018-10-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-09-17 | 2018-10-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-09-17 | 2018-10-16 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-09-17 | 2018-10-16 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-09-17 | 2018-10-16 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-09-17 | 2018-10-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-17 | 2018-10-16 | N |
| 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. | Health | 2018-09-17 | 2018-10-16 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-09-17 | 2018-10-16 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-09-17 | 2018-10-16 | N |
| 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. | Health | 2018-09-17 | 2018-10-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-17 | 2018-10-16 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-09-17 | 2018-10-16 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-09-17 | 2018-10-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-17 | 2018-10-16 | N |
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