Deficiency Records for Harbor Hill Center
Updated as of August 01, 2024
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Deficiency Records for Harbor Hill Center
A list of the most recent deficiencies for Harbor Hill Center. 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 Harbor Hill Center. 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? |
---|---|---|---|---|
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-10-19 | 2023-11-22 | N |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-10-19 | 2023-11-22 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2023-10-19 | 2023-11-22 | 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 | 2023-10-19 | 2023-11-22 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-19 | 2023-11-22 | N |
Dispose of garbage and refuse properly. | Health | 2023-10-19 | 2023-11-22 | N |
Provide and implement an infection prevention and control program. | Health | 2023-10-19 | 2023-11-22 | N |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-10-19 | 2023-11-22 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-19 | 2023-11-22 | Y |
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 | 2023-10-16 | 2023-11-21 | N |
Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-10-16 | 2023-11-21 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-16 | 2023-11-21 | N |
Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-10-16 | 2023-11-21 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-16 | 2023-11-21 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-06-23 | 2023-07-07 | Y |
Install resident room doors of proper design and width. | Fire Safety | 2023-06-23 | 2023-07-07 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-23 | 2023-07-07 | Y |
Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2023-06-23 | 2023-07-07 | Y |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-23 | 2023-07-07 | Y |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-02-16 | 2022-03-25 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-02-16 | 2022-03-25 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-02-16 | 2022-03-25 | 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 | 2022-02-16 | 2022-03-25 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-16 | 2022-03-25 | 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 | 2022-02-16 | 2022-03-25 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-16 | 2022-03-25 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-14 | 2022-03-15 | 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 | 2022-02-14 | 2022-03-15 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-02-14 | 2022-03-15 | N |
Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-02-14 | 2022-03-15 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-14 | 2022-03-15 | N |
Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2022-02-14 | 2022-03-15 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-02-14 | 2022-03-15 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-14 | 2022-03-15 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-07 | 2021-11-09 | Y |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-02-26 | 2020-08-21 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-26 | 2020-08-21 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-26 | 2020-08-21 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-02-26 | 2020-08-21 | N |
Ensure each resident receives an accurate assessment. | Health | 2020-02-26 | 2020-04-07 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-26 | 2020-04-07 | 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 | 2020-02-26 | 2020-04-07 | N |
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