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Deficiency Records for The Nicol Home
A list of the most recent deficiencies for The Nicol 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 The Nicol 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? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-16 | 2024-10-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-16 | 2024-10-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-09-16 | 2024-10-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-16 | 2024-10-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-31 | 2024-08-31 | 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 | 2024-07-31 | 2024-08-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-31 | 2024-08-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-31 | 2024-08-31 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-07-31 | 2024-08-31 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-07-31 | 2024-08-31 | Y |
| 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 | 2024-07-31 | 2024-08-31 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-07-31 | 2024-08-31 | Y |
| Implement a program that monitors antibiotic use. | Health | 2024-07-31 | 2024-08-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-28 | 2022-11-15 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-09-13 | 2022-11-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-13 | 2022-11-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-13 | 2022-11-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-09-13 | 2022-11-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-13 | 2022-11-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-09-13 | 2022-11-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-13 | 2022-11-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-13 | 2022-11-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-09-13 | 2022-11-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-13 | 2022-11-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-13 | 2022-11-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-09-13 | 2022-11-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-02 | 2022-08-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-02 | 2022-08-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-02 | 2022-08-31 | 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 | 2022-08-02 | 2022-08-31 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-08-02 | 2022-08-31 | 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 | 2022-08-02 | 2022-08-31 | 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 | 2022-08-02 | 2022-08-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-08-02 | 2022-08-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-31 | 2021-04-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-03-31 | 2021-04-22 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-03-31 | 2021-04-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-03-31 | 2021-04-22 | 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 | 2021-03-31 | 2021-04-22 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-03-31 | 2021-04-21 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-02-02 | 2021-02-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-02-02 | 2021-02-26 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-02-02 | 2021-02-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-02-02 | 2021-02-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-02 | 2021-02-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-02-02 | 2021-02-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-02-02 | 2021-02-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-02-02 | 2021-02-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-02-02 | 2021-02-26 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-02-02 | 2021-02-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-02-02 | 2021-02-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-02-02 | 2021-02-02 | N |
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