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Deficiency Records for Norwood Healthcare
A list of the most recent deficiencies for Norwood 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 Norwood 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-09 | 2024-05-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-09 | 2024-05-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-21 | 2023-09-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-21 | 2023-09-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-21 | 2023-09-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-21 | 2023-09-05 | N |
| 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 | 2023-07-21 | 2023-09-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-21 | 2023-09-05 | 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 | 2023-07-21 | 2023-09-05 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-07-21 | 2023-09-05 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-07-21 | 2023-08-22 | 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 | 2023-07-21 | 2023-08-22 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-07-21 | 2023-08-22 | N |
| Respond appropriately to all alleged violations. | Health | 2023-07-21 | 2023-08-22 | N |
| Provide activities to meet all resident's needs. | Health | 2023-07-21 | 2023-08-22 | 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 | 2023-07-21 | 2023-08-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-21 | 2023-08-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-07-21 | 2023-08-22 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-07-21 | 2023-08-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-07-21 | 2023-08-22 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-07-21 | 2023-08-22 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-07-21 | 2023-08-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-21 | 2023-08-22 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-07-21 | 2023-08-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-21 | 2023-08-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-21 | 2023-08-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-07 | 2022-07-29 | N |
| Report COVID19 data to residents and families. | Health | 2022-07-07 | 2022-07-29 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-07-07 | 2022-07-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-03-26 | 2021-06-08 | 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 | 2021-03-26 | 2021-06-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-03-26 | 2021-06-08 | N |
| 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 | 2021-03-26 | 2021-06-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-03-26 | 2021-05-10 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-03-26 | 2021-05-10 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2021-03-26 | 2021-05-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-03-26 | 2021-05-10 | 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 | 2021-03-26 | 2021-05-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-26 | 2021-05-10 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-03-26 | 2021-05-10 | N |
| Provide activities to meet all resident's needs. | Health | 2021-03-26 | 2021-05-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-26 | 2021-05-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-03-26 | 2021-05-10 | 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 | 2021-03-26 | 2021-05-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-03-26 | 2021-05-10 | 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 | 2021-03-26 | 2021-05-10 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-03-26 | 2021-05-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-26 | 2021-05-10 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-03-26 | 2021-05-10 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-03-26 | 2021-05-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-26 | 2021-05-10 | N |
| Report COVID19 data to residents and families. | Health | 2021-03-26 | 2021-05-10 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-03-26 | 2021-05-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-04 | 2019-12-18 | 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 | 2019-09-04 | 2019-12-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-09-04 | 2019-12-17 | 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 | 2019-09-04 | 2019-12-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-04 | 2019-12-17 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-09-04 | 2019-12-17 | 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 | 2019-09-04 | 2019-12-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-04 | 2019-12-17 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2019-09-04 | 2019-12-17 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2019-09-04 | 2019-11-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-09-04 | 2019-11-04 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-09-04 | 2019-11-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-09-04 | 2019-11-04 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-09-04 | 2019-11-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-04 | 2019-11-04 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-09-04 | 2019-11-04 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-09-04 | 2019-11-04 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-09-04 | 2019-11-04 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-09-04 | 2019-11-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-09-04 | 2019-11-04 | N |
| 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 | 2019-09-04 | 2019-11-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-09-04 | 2019-11-04 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-09-04 | 2019-11-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-09-04 | 2019-11-04 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-09-04 | 2019-11-04 | 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 | 2019-09-04 | 2019-11-04 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-09-04 | 2019-11-04 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-09-04 | 2019-11-04 | 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 | 2019-09-04 | 2019-11-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-04 | 2019-11-04 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-09-04 | 2019-11-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-04 | 2019-11-04 | N |
| Keep all essential equipment working safely. | Health | 2019-09-04 | 2019-11-04 | N |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2019-09-04 | 2019-11-04 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-09-04 | 2019-11-04 | N |
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