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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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