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Deficiency Records for Hermitage Nursing and Rehab
A list of the most recent deficiencies for Hermitage Nursing and Rehab. 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 Hermitage Nursing and Rehab. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-01 | 2024-03-17 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-02-01 | 2024-03-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-02-01 | 2024-03-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-01 | 2024-03-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-01 | 2024-03-17 | N |
| Use approved construction type or materials. | Fire Safety | 2024-02-01 | 2024-03-12 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-02-01 | 2024-03-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-01 | 2024-03-12 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-02-01 | 2024-03-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-01 | 2024-03-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-01 | 2024-03-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-24 | 2023-07-08 | Y |
| 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 | 2023-05-24 | 2023-07-08 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-13 | 2022-02-27 | 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 | 2022-01-13 | 2022-02-27 | 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 | 2022-01-13 | 2022-02-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-13 | 2022-02-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-01-13 | 2022-02-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-13 | 2022-02-27 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-01-13 | 2022-02-27 | 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 | 2019-05-28 | 2019-07-08 | N |
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