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Deficiency Records for Patapsco Healthcare
A list of the most recent deficiencies for Patapsco Healthcare. 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 Patapsco Healthcare. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-04 | 2023-11-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-04 | 2023-11-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-04 | 2023-09-27 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2023-08-04 | 2023-09-27 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-04 | 2023-09-27 | Y |
| 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 | 2023-08-04 | 2023-09-27 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-08-04 | 2023-09-27 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-04 | 2023-09-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-04 | 2023-09-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-04 | 2023-09-27 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-04 | 2023-09-27 | 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 | 2023-08-04 | 2023-09-27 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-08-04 | 2023-09-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-04 | 2023-09-27 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-08-04 | 2023-09-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-04 | 2023-09-27 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-08-04 | 2023-09-27 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-08-04 | 2023-09-27 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-08-04 | 2023-09-27 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-08-04 | 2023-09-27 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-08-04 | 2023-09-27 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-04 | 2023-09-27 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-04 | 2023-09-27 | Y |
| 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 | 2023-08-04 | 2023-09-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-04 | 2023-09-27 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2023-08-04 | 2023-09-27 | Y |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2023-08-04 | 2023-09-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-04 | 2023-09-27 | Y |
| Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | Health | 2023-08-04 | 2023-09-27 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2023-08-04 | 2023-09-27 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-08-04 | 2023-09-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-04 | 2023-09-27 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-04 | 2023-09-27 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-08-04 | 2023-09-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-04 | 2023-05-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-24 | 2022-02-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-23 | 2019-12-02 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-10-23 | 2019-12-02 | N |
| Respond appropriately to all alleged violations. | Health | 2019-10-23 | 2019-12-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-23 | 2019-12-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-23 | 2019-12-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-23 | 2019-12-02 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-10-23 | 2019-12-02 | 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 | 2019-10-23 | 2019-12-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-23 | 2019-12-02 | 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 | 2019-10-23 | 2019-12-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-23 | 2019-12-02 | 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 | 2019-10-23 | 2019-12-02 | N |
| Provide or obtain dental services for each resident. | Health | 2019-10-23 | 2019-12-02 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2019-10-23 | 2019-12-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-23 | 2019-12-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-22 | 2019-11-15 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-10-22 | 2019-11-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-05-10 | 2018-07-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-10 | 2018-07-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-05-23 | 2018-07-07 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-05-23 | 2018-07-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-05-23 | 2018-07-07 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-05-23 | 2018-07-07 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-05-23 | 2018-07-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-05-23 | 2018-07-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-05-23 | 2018-07-07 | N |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2018-05-23 | 2018-07-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-05-23 | 2018-07-07 | N |
| Respond appropriately to all alleged violations. | Health | 2018-05-23 | 2018-07-07 | 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 | 2018-05-23 | 2018-07-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-05-23 | 2018-07-07 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-05-23 | 2018-07-07 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-05-23 | 2018-07-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-05-23 | 2018-07-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-05-23 | 2018-07-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-23 | 2018-07-07 | 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 | 2018-05-23 | 2018-07-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-23 | 2018-07-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-05-23 | 2018-07-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-23 | 2018-07-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-23 | 2018-07-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-05-23 | 2018-07-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-05-23 | 2018-07-07 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-05-23 | 2018-07-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-05-23 | 2018-07-07 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-05-23 | 2018-07-07 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-05-23 | 2018-07-07 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-05-23 | 2018-07-07 | N |
| Post nurse staffing information every day. | Health | 2018-05-23 | 2018-07-07 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-05-23 | 2018-07-07 | 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 | 2018-05-23 | 2018-07-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-05-23 | 2018-07-07 | 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 | 2018-05-23 | 2018-07-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-05-23 | 2018-07-07 | 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 | 2018-05-23 | 2018-07-07 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-05-23 | 2018-07-07 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-05-23 | 2018-07-07 | N |
| Keep complete, dated laboratory records in the resident's record. | Health | 2018-05-23 | 2018-07-07 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-05-23 | 2018-07-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-23 | 2018-07-07 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2018-05-23 | 2018-07-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-23 | 2018-07-07 | N |
| Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | Health | 2018-05-23 | 2018-07-07 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-05-23 | 2018-07-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-23 | 2018-07-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-05-23 | 2018-07-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-05-23 | 2018-07-07 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2018-05-23 | 2018-07-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-05-10 | 2018-06-24 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-05-10 | 2018-06-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-05-10 | 2018-06-24 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-05-10 | 2018-06-24 | N |
| Try to resolve each resident's complaints quickly. | Health | 2017-02-10 | 2017-03-25 | N |
| Send unopened mail from residents and promptly deliver unopened mail to residents. | Health | 2017-02-10 | 2017-03-25 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-02-10 | 2017-03-25 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-02-10 | 2017-03-25 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2017-02-10 | 2017-03-25 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-02-10 | 2017-03-25 | N |
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