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Deficiency Records for Gilpin Hall

A list of the most recent deficiencies for Gilpin Hall. 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 Gilpin Hall. 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?
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-12-14 2024-01-31 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-12-14 2024-01-31 Y
Provide and implement an infection prevention and control program. Health 2023-12-14 2024-01-31 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-07-28 2022-09-16 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 2021-08-03 2021-10-01 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 2021-08-03 2021-10-01 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-08-03 2021-10-01 N
Provide enough food/fluids to maintain a resident's health. Health 2021-08-03 2021-10-01 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-08-03 2021-10-01 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2021-08-03 2021-10-01 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2021-08-03 2021-10-01 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2021-08-03 2021-10-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-08-03 2021-10-01 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-08-03 2021-10-01 N
Provide and implement an infection prevention and control program. Health 2021-08-03 2021-10-01 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2021-08-03 2021-10-01 N
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2021-08-03 2021-10-01 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 2019-05-16 2019-08-12 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-05-16 2019-08-12 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2019-05-16 2019-08-12 N
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2019-05-16 2019-08-12 N
Provide or obtain dental services for each resident. Health 2019-05-16 2019-08-12 N
Provide and implement an infection prevention and control program. Health 2019-05-16 2019-08-12 N
Implement a program that monitors antibiotic use. Health 2019-05-16 2019-08-12 N
Use approved construction type or materials. Fire Safety 2019-05-14 2019-06-10 N

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