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Deficiency Records for Leahi Hospital
A list of the most recent deficiencies for Leahi Hospital. 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 Leahi Hospital. 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? |
---|---|---|---|---|
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-05 | 2024-10-07 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-05 | 2024-09-18 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-08-01 | 2024-09-15 | 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 | 2024-08-01 | 2024-09-15 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-08-01 | 2024-09-15 | 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 | 2023-09-14 | 2023-10-27 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-09-14 | 2023-10-27 | N |
Post nurse staffing information every day. | Health | 2023-09-14 | 2023-10-27 | 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 | 2023-09-14 | 2023-10-27 | N |
Provide and implement an infection prevention and control program. | Health | 2023-09-14 | 2023-10-27 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-14 | 2023-10-27 | Y |
Respond appropriately to all alleged violations. | Health | 2023-09-14 | 2023-10-27 | Y |
Give the resident's representative the ability to exercise the resident's rights. | Health | 2022-09-30 | 2022-11-10 | N |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-09-30 | 2022-11-10 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-09-30 | 2022-11-10 | 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 | 2022-09-30 | 2022-11-10 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-09-30 | 2022-11-10 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-30 | 2022-11-10 | N |
Respond appropriately to all alleged violations. | Health | 2022-09-30 | 2022-11-10 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-30 | 2022-11-10 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-30 | 2022-11-10 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-30 | 2022-11-10 | 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 | 2022-09-30 | 2022-11-10 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-30 | 2022-11-10 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-30 | 2022-11-10 | N |
Provide and implement an infection prevention and control program. | Health | 2022-09-30 | 2022-11-10 | N |
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-09-30 | 2022-11-10 | Y |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-09-30 | 2022-10-05 | N |
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