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Deficiency Records for Harvest Acres Nursing and Rehab
A list of the most recent deficiencies for Harvest Acres Nursing and Rehab. 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 Harvest Acres Nursing and Rehab. 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? |
|---|---|---|---|---|
| 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 | 2024-11-19 | 2024-12-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-11-19 | 2024-12-19 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-11-19 | 2024-12-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-11-19 | 2024-12-19 | N |
| Provide activities to meet all resident's needs. | Health | 2024-11-19 | 2024-12-19 | 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 | 2024-11-19 | 2024-12-19 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-11-19 | 2024-12-19 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-11-19 | 2024-12-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-11-19 | 2024-12-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-11-19 | 2024-12-19 | 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 | 2024-11-19 | 2024-12-19 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-11-19 | 2024-12-19 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-11-19 | 2024-12-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-11-19 | 2024-12-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-19 | 2024-12-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-19 | 2024-12-19 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-11-19 | 2024-12-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-11-19 | 2024-12-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-11-19 | 2024-12-19 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-11-19 | 2024-12-19 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-11-19 | 2024-12-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-19 | 2024-12-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-19 | 2024-12-19 | 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 | 2024-11-19 | 2024-12-19 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-11-19 | 2024-12-19 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-11-14 | 2024-12-14 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-11-19 | 2024-11-19 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-11-19 | 2024-11-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-11-14 | 2024-11-19 | 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 | 2024-11-14 | 2024-11-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-11-14 | 2024-11-18 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-01-24 | 2024-02-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-24 | 2024-02-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-24 | 2024-02-24 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-01-24 | 2024-02-24 | 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 | 2024-01-23 | 2024-02-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-01-23 | 2024-02-16 | 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 | 2024-01-23 | 2024-02-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-23 | 2024-02-16 | 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 | 2024-01-23 | 2024-02-16 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-01-23 | 2024-02-16 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-01-23 | 2024-02-16 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-01-23 | 2024-02-16 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-01-23 | 2024-02-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-23 | 2024-02-16 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-01-24 | 2024-02-05 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2024-01-24 | 2024-02-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-24 | 2024-02-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-01-24 | 2024-01-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-01-24 | 2024-01-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-24 | 2024-01-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-24 | 2024-01-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-15 | 2023-07-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-15 | 2023-07-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-15 | 2023-07-14 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-11-21 | 2023-02-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-21 | 2023-02-01 | 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 | 2022-11-21 | 2023-02-01 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-11-17 | 2022-12-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-17 | 2022-12-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-11-17 | 2022-12-07 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-11-17 | 2022-12-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-17 | 2022-11-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-11-17 | 2022-11-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-17 | 2022-11-28 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2022-11-17 | 2022-11-17 | N |
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