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Deficiency Records for The Hermitage Healthcare

A list of the most recent deficiencies for The Hermitage 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 The Hermitage 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?
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-06-13 2024-07-20 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-06-13 2024-07-20 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-06-13 2024-07-20 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-06-13 2024-07-20 N
Provide a written emergency evacuation plan. Fire Safety 2024-06-13 2024-07-20 N
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 2024-06-04 2024-06-21 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-06-04 2024-06-21 N
Provide care or services that was trauma informed and/or culturally competent. Health 2024-06-04 2024-06-21 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2024-06-04 2024-06-21 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-01-19 2023-02-17 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 2023-01-19 2023-02-17 N
Provide activities to meet all resident's needs. Health 2023-01-19 2023-02-17 N
Provide enough food/fluids to maintain a resident's health. Health 2023-01-19 2023-02-17 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-01-19 2023-02-17 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 2023-01-19 2023-02-17 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 2023-01-19 2023-02-17 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2023-01-19 2023-02-17 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-01-19 2023-02-17 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2023-01-19 2023-02-17 N
Provide and implement an infection prevention and control program. Health 2023-01-19 2023-02-17 N
Implement a program that monitors antibiotic use. Health 2023-01-19 2023-02-17 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2023-01-19 2023-02-17 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-01-19 2023-02-17 N
Report COVID19 data to residents and families. Health 2023-01-19 2023-02-17 N
Perform COVID19 testing on residents and staff. Health 2023-01-19 2023-02-17 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2023-01-19 2023-02-17 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-01-27 2023-02-17 N
Install properly constructed and protected linen or trash chutes. Fire Safety 2023-01-27 2023-02-17 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-01-27 2023-02-17 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-04-28 2021-05-15 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-04-28 2021-05-15 N
Provide properly sized and located linen or trash receptacles. Fire Safety 2021-04-28 2021-05-15 N
Honor the resident's right to manage his or her financial affairs. Health 2021-04-14 2021-05-14 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-04-14 2021-05-14 N
Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Health 2021-04-14 2021-05-14 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-04-14 2021-05-14 N
Ensure each resident receives an accurate assessment. Health 2021-04-14 2021-05-14 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 2021-04-14 2021-05-14 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 2021-04-14 2021-05-14 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2021-04-14 2021-05-14 N
Provide or obtain dental services for each resident. Health 2021-04-14 2021-05-14 N
Provide and implement an infection prevention and control program. Health 2021-04-14 2021-05-14 N
Perform COVID19 testing on residents and staff. Health 2021-04-14 2021-05-14 N

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