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Deficiency Records for Simpson Memorial Home

A list of the most recent deficiencies for Simpson 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 Simpson 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?
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-10-22 2024-11-26 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-10-22 2024-11-22 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2024-10-22 2024-11-22 N
Assess the resident when there is a significant change in condition Health 2024-10-17 2024-11-09 N
Ensure each resident receives an accurate assessment. Health 2024-10-17 2024-11-09 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 2024-10-17 2024-11-09 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-10-17 2024-11-09 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-08-17 2023-09-19 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2023-08-17 2023-09-19 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-08-17 2023-09-19 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-08-18 2023-08-25 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 2022-05-20 2022-06-18 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 2022-05-20 2022-06-18 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-05-20 2022-06-18 N
Provide and implement an infection prevention and control program. Health 2022-05-20 2022-06-18 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-05-20 2022-06-18 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-05-20 2022-06-18 Y
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-05-31 2022-06-03 N

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