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Deficiency Records for Southeast Colorado Hospital Ltc
A list of the most recent deficiencies for Southeast Colorado Hospital Ltc. 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 Southeast Colorado Hospital Ltc. 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? |
|---|---|---|---|---|
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2023-07-07 | 2023-08-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-07-07 | 2023-07-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-07 | 2023-07-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-07 | 2023-07-28 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-07-07 | 2023-07-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-07 | 2023-07-27 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-07-07 | 2023-07-27 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-06-15 | 2023-07-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-15 | 2023-07-06 | 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 | 2023-06-15 | 2023-07-06 | 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 | 2023-06-15 | 2023-07-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-15 | 2023-07-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-15 | 2023-07-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-26 | 2022-05-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-14 | 2022-05-05 | 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 | 2022-04-14 | 2022-05-05 | 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 | 2022-04-26 | 2022-05-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-04-26 | 2022-05-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-02-16 | 2021-04-15 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-02-16 | 2021-03-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-16 | 2021-03-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-02-16 | 2021-03-03 | 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 | 2021-01-28 | 2021-02-11 | N |
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