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Deficiency Records for The Nathaniel Witherell
A list of the most recent deficiencies for The Nathaniel Witherell. 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 The Nathaniel Witherell. 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? |
|---|---|---|---|---|
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-08-06 | 2024-09-17 | 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 | 2024-08-06 | 2024-09-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-08-06 | 2024-09-17 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-08-06 | 2024-09-17 | N |
| Respond appropriately to all alleged violations. | Health | 2024-08-06 | 2024-09-17 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-08-06 | 2024-09-17 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-08-06 | 2024-09-17 | 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 | 2024-08-06 | 2024-09-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-06 | 2024-09-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-06 | 2024-09-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-06 | 2024-09-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-08-06 | 2024-09-17 | N |
| 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 | 2024-08-06 | 2024-09-17 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-08-06 | 2024-09-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-06 | 2024-09-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-06 | 2024-09-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-06 | 2024-09-17 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-08-06 | 2024-09-17 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-07-24 | 2024-09-02 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-07-24 | 2024-09-02 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-07-24 | 2024-09-02 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2024-07-24 | 2024-09-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-24 | 2024-09-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-07-24 | 2024-09-02 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-07-24 | 2024-09-02 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-07-24 | 2024-08-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-24 | 2024-08-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-24 | 2024-05-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-09 | 2023-12-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-10 | 2023-09-30 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-08-10 | 2023-09-20 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-05-17 | 2023-06-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-17 | 2023-06-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-09 | 2022-08-01 | Y |
| 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 | 2022-03-09 | 2022-08-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-09 | 2022-08-01 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-09 | 2022-08-01 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-03-09 | 2022-08-01 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-03-09 | 2022-08-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-09 | 2022-08-01 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-03-09 | 2022-08-01 | Y |
| 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 | 2022-03-09 | 2022-08-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-09 | 2022-08-01 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-03-09 | 2022-08-01 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-03-09 | 2022-07-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-09 | 2022-06-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-09 | 2022-06-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-09 | 2022-06-01 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-09 | 2022-06-01 | Y |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-03-01 | 2022-04-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-01 | 2022-04-29 | 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 | 2022-03-01 | 2022-04-29 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-03-01 | 2022-04-29 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-03-01 | 2022-04-29 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-03-01 | 2022-04-29 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-03-01 | 2022-04-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-03-01 | 2022-04-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-01 | 2022-04-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-01 | 2022-04-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-08-08 | 2019-09-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-09 | 2019-09-16 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-08-09 | 2019-09-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-08-09 | 2019-09-16 | N |
| Respond appropriately to all alleged violations. | Health | 2019-08-09 | 2019-09-16 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-08-09 | 2019-09-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-09 | 2019-09-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-09 | 2019-09-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-08 | 2019-08-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-08-08 | 2019-08-28 | N |
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