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Deficiency Records for Henry County Health Center
A list of the most recent deficiencies for Henry County Health 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 Henry County Health 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? |
|---|---|---|---|---|
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-07-25 | 2024-08-19 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-07-25 | 2024-08-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-30 | 2024-08-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-07-30 | 2024-08-08 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-07-30 | 2024-08-01 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-07-30 | 2024-08-01 | 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 | 2024-07-30 | 2024-07-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-07-30 | 2024-07-30 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-05-16 | 2024-06-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-16 | 2024-06-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-16 | 2024-06-12 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-07-31 | 2023-08-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-31 | 2023-08-30 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-07-31 | 2023-08-30 | N |
| 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 | 2023-07-31 | 2023-08-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-31 | 2023-08-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-31 | 2023-08-30 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-31 | 2023-08-16 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2022-02-10 | 2022-03-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-02-10 | 2022-03-04 | 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 | 2022-02-10 | 2022-03-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-10 | 2022-03-04 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-02-10 | 2022-03-04 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-02-16 | 2022-03-04 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-02-16 | 2022-03-03 | N |
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