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Deficiency Records for Helen Newberry Joy Hltcu Golden Leaves Living Ctr
A list of the most recent deficiencies for Helen Newberry Joy Hltcu Golden Leaves Living Ctr. 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 Helen Newberry Joy Hltcu Golden Leaves Living Ctr. 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2024-06-24 | 2024-08-23 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-06-26 | 2024-07-26 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-06-26 | 2024-07-26 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-06-26 | 2024-07-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-26 | 2024-07-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-26 | 2024-07-26 | 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 | 2024-06-26 | 2024-07-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-06-26 | 2024-07-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-26 | 2024-07-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-26 | 2024-07-26 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-06-24 | 2024-07-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-24 | 2024-07-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-24 | 2024-07-26 | 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 | 2024-06-24 | 2024-07-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-24 | 2024-07-16 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-06-24 | 2024-07-16 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-06-24 | 2024-07-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-14 | 2024-06-22 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-07-25 | 2023-09-24 | 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 | 2023-07-25 | 2023-09-24 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-07-25 | 2023-09-10 | 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 | 2023-07-20 | 2023-08-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-20 | 2023-08-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-20 | 2023-08-25 | 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 | 2023-07-20 | 2023-08-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-20 | 2023-08-25 | Y |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-07-20 | 2023-08-25 | Y |
| Post nurse staffing information every day. | Health | 2023-07-20 | 2023-08-25 | Y |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-07-25 | 2023-08-24 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2023-07-25 | 2023-08-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-25 | 2023-08-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-09 | 2023-04-17 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-08 | 2023-02-28 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-06-09 | 2022-07-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-06-09 | 2022-07-12 | 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 | 2022-06-09 | 2022-07-12 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-06-09 | 2022-07-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-09 | 2022-07-12 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-06-09 | 2022-07-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-09 | 2022-07-12 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-06-09 | 2022-07-12 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-08 | 2022-07-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-08 | 2022-07-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-08 | 2022-07-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-06-08 | 2022-07-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-08 | 2022-07-12 | N |
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