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Deficiency Records for The Hsc Pediatric Skilled Nursing Facility

A list of the most recent deficiencies for The Hsc Pediatric Skilled Nursing Facility. 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 Hsc Pediatric Skilled Nursing Facility. 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?
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-02-09 2023-05-12 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 2023-02-09 2023-05-12 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-02-09 2023-05-12 Y
Respond appropriately to all alleged violations. Health 2023-02-09 2023-05-12 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-02-09 2023-05-12 Y
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2023-02-09 2023-05-12 Y
Ensure each resident receives an accurate assessment. Health 2023-02-09 2023-05-12 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-02-09 2023-05-12 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-02-09 2023-05-12 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 2023-02-09 2023-05-12 Y
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2023-02-09 2023-05-12 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-02-09 2023-05-12 Y
Provide and implement an infection prevention and control program. Health 2023-02-09 2023-05-12 Y
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-02-09 2023-05-12 Y
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2023-02-09 2023-05-12 Y
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Health 2023-01-06 2023-01-23 Y
Ensure each resident receives an accurate assessment. Health 2021-08-12 2021-10-21 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 2021-08-12 2021-10-21 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-08-12 2021-10-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-08-12 2021-10-21 N
Provide and implement an infection prevention and control program. Health 2021-08-12 2021-10-21 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2021-08-12 2021-10-21 N
Address subsistence needs for staff and patients. Fire Safety 2021-08-18 2021-10-21 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-08-18 2021-10-21 N
Establish policies and procedures for volunteers. Fire Safety 2019-11-19 2019-12-06 N
Provide emergency officials' contact information. Fire Safety 2019-11-19 2019-12-06 N
Provide family notifications of emergency plan. Fire Safety 2019-11-19 2019-12-06 N
Establish emergency prep training and testing. Fire Safety 2019-11-19 2019-12-06 N

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