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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? |
|---|---|---|---|---|
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-09-12 | 2024-10-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-12 | 2024-10-04 | 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 | 2024-09-12 | 2024-10-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-12 | 2024-10-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-12 | 2024-10-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-12 | 2024-10-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-09-12 | 2024-10-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-09-12 | 2024-10-04 | 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 | 2024-09-12 | 2024-10-04 | N |
| 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. | Health | 2024-09-12 | 2024-10-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-09-12 | 2024-10-04 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-09-12 | 2024-10-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-12 | 2024-10-04 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-09-17 | 2024-09-30 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2024-09-17 | 2024-09-30 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-09-17 | 2024-09-30 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-09-17 | 2024-09-30 | N |
| Use approved construction type or materials. | Fire Safety | 2024-09-17 | 2024-09-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-09-17 | 2024-09-30 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-09-17 | 2024-09-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-17 | 2024-09-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-09-17 | 2024-09-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-17 | 2024-09-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-09-17 | 2024-09-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-09-17 | 2024-09-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-17 | 2024-09-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-09-17 | 2024-09-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-17 | 2024-09-30 | N |
| 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 |
| 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 |
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