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Deficiency Records for Integrity Hc of Anna
A list of the most recent deficiencies for Integrity Hc of Anna. 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 Integrity Hc of Anna. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-18 | 2024-04-22 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-04-18 | 2024-04-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-18 | 2024-04-18 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-04-04 | 2024-04-15 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-04 | 2024-04-15 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-04-04 | 2024-04-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-04 | 2024-04-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-04 | 2024-04-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-04 | 2024-04-15 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-04-04 | 2024-04-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-10 | 2023-10-17 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-09-25 | 2023-10-12 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-09-25 | 2023-10-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-25 | 2023-10-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-25 | 2023-10-12 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-09-25 | 2023-10-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-09-25 | 2023-10-12 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-09-25 | 2023-10-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-25 | 2023-10-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-25 | 2023-10-12 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-07-28 | 2023-08-04 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-07-28 | 2023-08-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-23 | 2023-04-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-23 | 2023-04-06 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-03-23 | 2023-04-06 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-10-20 | 2022-11-01 | Y |
| 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 | 2022-07-29 | 2022-08-10 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-07-29 | 2022-08-10 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-08-01 | 2022-08-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-01 | 2022-08-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-28 | 2021-07-09 | N |
| Install resident room doors of proper design and width. | Fire Safety | 2021-05-28 | 2021-06-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-05-28 | 2021-06-04 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-05-28 | 2021-06-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-28 | 2021-06-04 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-05-28 | 2021-06-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-28 | 2021-06-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-05-13 | 2021-05-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-13 | 2021-05-19 | N |
| Respond appropriately to all alleged violations. | Health | 2021-05-13 | 2021-05-19 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-05-13 | 2021-05-19 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-05-13 | 2021-05-19 | N |
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