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Deficiency Records for Calhoun Health Care Center

A list of the most recent deficiencies for Calhoun Health Care Center. 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 Calhoun Health Care Center. 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 2023-03-16 2023-04-11 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-03-16 2023-04-11 N
Ensure each resident receives an accurate assessment. Health 2023-03-16 2023-04-11 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2023-03-16 2023-04-11 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 2023-03-16 2023-04-11 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 2023-03-16 2023-04-11 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-03-16 2023-04-11 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2023-03-16 2023-04-11 N
Provide and implement an infection prevention and control program. Health 2023-03-16 2023-04-11 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-03-16 2023-04-11 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-03-16 2023-04-11 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-03-16 2023-04-11 Y
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2023-03-16 2023-04-11 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-03-16 2023-04-11 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-03-16 2023-04-11 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-03-16 2023-04-11 Y
Have an enclosure around a vertical opening shaft. Fire Safety 2023-03-15 2023-04-11 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-03-15 2023-04-11 N
Install an approved automatic sprinkler system. Fire Safety 2023-03-15 2023-04-11 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-03-15 2023-04-11 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-03-15 2023-04-11 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-03-15 2023-04-11 N
Have proper medical gas storage and administration areas. Fire Safety 2023-03-15 2023-04-11 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 2021-06-06 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-04-22 2021-06-06 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 2021-04-22 2021-06-06 N
Provide and implement an infection prevention and control program. Health 2021-04-22 2021-06-06 N
Install an approved automatic sprinkler system. Fire Safety 2021-04-22 2021-06-06 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-04-22 2021-06-06 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2021-04-22 2021-06-06 N
Meet other general requirements. Fire Safety 2018-08-13 2018-10-16 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2018-08-16 2018-10-10 N
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 2018-08-16 2018-10-10 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2018-08-16 2018-10-10 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-08-16 2018-10-10 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 2018-08-16 2018-10-10 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2018-08-16 2018-10-10 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 2018-08-16 2018-10-10 N
Provide and implement an infection prevention and control program. Health 2018-08-16 2018-10-10 N
Establish an Emergency Preparedness Program (EP). Fire Safety 2018-08-13 2018-10-10 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2018-08-13 2018-10-10 N
Have exits that are accessible at all times. Fire Safety 2018-08-13 2018-10-10 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2018-08-13 2018-10-10 N
Have properly located and lighted "Exit" signs. Fire Safety 2018-08-13 2018-10-10 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 2018-08-13 2018-10-10 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2018-08-13 2018-10-10 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-08-13 2018-10-10 N
Have simulated fire drills held at unexpected times. Fire Safety 2018-08-13 2018-10-10 N

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