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Deficiency Records for Jackson County Medical Care Facility
A list of the most recent deficiencies for Jackson County Medical Care Facility. 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 Jackson County Medical Care Facility. 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 | 2023-12-07 | 2024-01-05 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-12-07 | 2024-01-05 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-12-07 | 2024-01-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-07 | 2024-01-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-07 | 2024-01-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-07 | 2024-01-05 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-12-04 | 2024-01-05 | 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 | 2023-12-04 | 2024-01-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-12-04 | 2024-01-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-04 | 2024-01-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-06 | 2022-10-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-06 | 2022-10-24 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-09-06 | 2022-10-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-06 | 2022-10-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-09-06 | 2022-10-24 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-09-09 | 2022-10-17 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-09-09 | 2022-10-17 | 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 | 2022-09-09 | 2022-10-17 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-09-09 | 2022-10-17 | 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 | 2022-09-09 | 2022-10-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-09 | 2022-10-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-09-09 | 2022-10-17 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-05-04 | 2021-06-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-05-04 | 2021-06-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-04 | 2021-06-09 | 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 | 2021-05-04 | 2021-06-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-05-04 | 2021-06-09 | 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 | 2021-05-04 | 2021-06-09 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-05-04 | 2021-06-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-04 | 2021-06-09 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-05-04 | 2021-06-09 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-04-29 | 2021-06-09 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-04-29 | 2021-06-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-29 | 2021-06-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-04-29 | 2021-06-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-04-29 | 2021-06-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-04-29 | 2021-06-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-29 | 2021-06-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-29 | 2021-06-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-29 | 2021-06-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-04-29 | 2021-06-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-29 | 2021-06-09 | N |
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