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Deficiency Records for Sheridan County Hospital Ltcu
A list of the most recent deficiencies for Sheridan County Hospital Ltcu. 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 Sheridan County Hospital Ltcu. 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 approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-08 | 2024-09-17 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-08 | 2024-09-16 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-07-08 | 2024-09-16 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-07-08 | 2024-09-16 | N |
Establish emergency prep training and testing. | Fire Safety | 2024-07-08 | 2024-09-10 | N |
Conduct testing and exercise requirements. | Fire Safety | 2024-07-08 | 2024-09-10 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-08 | 2024-09-10 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-07-08 | 2024-09-05 | N |
Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2024-07-08 | 2024-09-05 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-08 | 2024-09-05 | 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 | 2024-07-08 | 2024-09-05 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-07-08 | 2024-09-05 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-07-08 | 2024-09-05 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-08 | 2024-09-05 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-08 | 2024-09-05 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2024-07-08 | 2024-09-05 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-23 | 2024-06-19 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-23 | 2024-06-19 | 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 | 2024-05-23 | 2024-06-19 | N |
Provide and implement an infection prevention and control program. | Health | 2024-05-23 | 2024-06-19 | 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 | 2024-02-06 | 2024-02-23 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-06 | 2024-02-23 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-16 | 2023-09-13 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-16 | 2023-09-13 | Y |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-08-16 | 2023-09-13 | Y |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-14 | 2022-10-11 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-14 | 2022-10-11 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-09-14 | 2022-10-11 | N |
Provide appropriate foot care. | Health | 2022-07-14 | 2022-08-17 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-07-14 | 2022-08-17 | N |
Provide and implement an infection prevention and control program. | Health | 2022-07-14 | 2022-08-17 | N |
Conduct testing and exercise requirements. | Fire Safety | 2021-02-17 | 2021-03-15 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-02-17 | 2021-03-15 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-02-17 | 2021-03-15 | 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 | 2021-02-17 | 2021-03-15 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-02-17 | 2021-03-15 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-02-17 | 2021-03-15 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-02-17 | 2021-03-15 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-02-17 | 2021-03-15 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-01-26 | 2021-02-26 | N |
Respond appropriately to all alleged violations. | Health | 2021-01-26 | 2021-02-26 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-01-26 | 2021-02-26 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-01-26 | 2021-02-26 | N |
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