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Deficiency Records for Hitz Memorial Home
A list of the most recent deficiencies for Hitz Memorial Home. 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 Hitz Memorial Home. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-16 | 2024-11-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-16 | 2024-10-24 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-10-16 | 2024-10-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-12 | 2024-09-23 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-09-12 | 2024-09-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-09-12 | 2024-09-13 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-09-12 | 2024-09-13 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-08-22 | 2023-09-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-22 | 2023-09-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-22 | 2023-09-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-25 | 2023-09-02 | 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 | 2023-08-25 | 2023-09-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-25 | 2023-09-02 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-08-25 | 2023-09-02 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-19 | 2023-08-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-19 | 2023-08-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-07-19 | 2023-08-03 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-15 | 2022-10-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-15 | 2022-10-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-15 | 2022-10-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-15 | 2022-10-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-09-15 | 2022-10-06 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-09-12 | 2022-10-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-12 | 2022-09-29 | 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 | 2022-09-12 | 2022-09-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-12 | 2022-09-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-09-12 | 2022-09-29 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-09-12 | 2022-09-29 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-09-12 | 2022-09-29 | N |
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