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Deficiency Records for Hampden Hills Post Acute
A list of the most recent deficiencies for Hampden Hills Post Acute. 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 Hampden Hills Post Acute. 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 and implement an infection prevention and control program. | Health | 2023-12-05 | 2024-01-15 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-10 | 2023-11-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-10 | 2023-10-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-10 | 2023-10-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-10 | 2023-10-10 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-08-10 | 2023-10-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-10 | 2023-10-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-10 | 2023-10-10 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-07-27 | 2023-09-13 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-07-27 | 2023-09-12 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-27 | 2023-09-05 | 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 | 2023-07-27 | 2023-09-05 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2023-07-27 | 2023-08-25 | N |
| 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. | Health | 2023-07-27 | 2023-08-25 | 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 | 2023-07-27 | 2023-08-25 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-07-27 | 2023-08-25 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-07-27 | 2023-08-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-27 | 2023-08-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-27 | 2023-08-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-27 | 2023-08-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-27 | 2023-08-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-27 | 2023-08-25 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-01 | 2023-02-23 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-01 | 2023-02-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-26 | 2022-08-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-26 | 2022-08-30 | Y |
| Meet other general requirements. | Fire Safety | 2022-07-08 | 2022-07-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-07-08 | 2022-07-25 | 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 | 2022-07-08 | 2022-07-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-07-08 | 2022-07-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-07-08 | 2022-07-21 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-06-17 | 2022-07-15 | N |
| 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. | Health | 2022-06-17 | 2022-07-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-06-17 | 2022-07-15 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-06-17 | 2022-07-15 | 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 | 2022-06-17 | 2022-07-15 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-06-17 | 2022-07-15 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-06-17 | 2022-07-15 | 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 | 2022-06-17 | 2022-07-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-06-17 | 2022-07-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-17 | 2022-07-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-30 | 2022-05-03 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-03-30 | 2022-04-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-30 | 2022-04-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-30 | 2022-04-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-30 | 2022-04-29 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-03-30 | 2022-04-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-01 | 2022-03-02 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-02-01 | 2022-03-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-01 | 2022-03-02 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-02-01 | 2022-03-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-22 | 2021-07-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-05 | 2021-07-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-05 | 2021-06-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-05 | 2021-05-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-05-05 | 2021-05-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-05 | 2021-05-22 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-05-05 | 2021-05-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-05 | 2021-05-17 | 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 | 2021-05-05 | 2021-05-05 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2021-05-05 | 2021-05-05 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-04-22 | 2021-05-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-22 | 2021-05-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-22 | 2021-05-03 | 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 | 2021-04-22 | 2021-05-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-22 | 2021-05-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-22 | 2021-05-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-22 | 2021-05-03 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-04-22 | 2021-05-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-22 | 2021-05-03 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-04-22 | 2021-05-03 | 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 | 2021-04-22 | 2021-05-03 | 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 | 2021-04-22 | 2021-05-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-22 | 2021-05-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-04-22 | 2021-05-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-22 | 2021-05-03 | N |
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