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Deficiency Records for Accura Healthcare of Cherokee, LLC
A list of the most recent deficiencies for Accura Healthcare of Cherokee, LLC. 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 Accura Healthcare of Cherokee, LLC. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-10-14 | 2024-11-14 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-10-14 | 2024-11-14 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-10-14 | 2024-11-14 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-10-14 | 2024-11-14 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-10-14 | 2024-11-14 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-10-14 | 2024-11-14 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2024-10-14 | 2024-11-14 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-10-14 | 2024-11-14 | N |
| Develop a communication plan. | Fire Safety | 2024-10-14 | 2024-11-14 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-10-14 | 2024-11-14 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-10-14 | 2024-11-14 | N |
| Establish methods for sharing information. | Fire Safety | 2024-10-14 | 2024-11-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-10-14 | 2024-11-14 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-10-14 | 2024-11-14 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-10-14 | 2024-11-14 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-10-14 | 2024-11-14 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-10-14 | 2024-11-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-10-14 | 2024-11-14 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-10-14 | 2024-11-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-14 | 2024-11-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-10-14 | 2024-11-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-14 | 2024-11-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-10-14 | 2024-11-14 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-10-10 | 2024-10-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-10 | 2024-10-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-10 | 2024-10-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-18 | 2023-08-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-18 | 2023-08-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-07-18 | 2023-08-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-18 | 2023-08-17 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2023-07-18 | 2023-08-17 | 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 | 2023-07-13 | 2023-07-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-13 | 2023-07-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-13 | 2023-07-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-25 | 2022-05-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-04-25 | 2022-05-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-21 | 2022-05-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-21 | 2022-05-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-25 | 2022-04-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-25 | 2022-04-25 | N |
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