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Deficiency Records for Hope Care Center
A list of the most recent deficiencies for Hope Care Center. 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 Hope Care Center. 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 policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-06-13 | 2024-07-27 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-06-13 | 2024-07-27 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-06-13 | 2024-07-27 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-06-13 | 2024-07-27 | 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 | 2024-06-13 | 2024-07-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-06-13 | 2024-07-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-13 | 2024-07-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-06-13 | 2024-07-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-13 | 2024-07-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-13 | 2024-07-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-06-13 | 2024-07-27 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2024-06-13 | 2024-07-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-13 | 2024-07-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-13 | 2024-07-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-06-13 | 2024-07-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-13 | 2024-07-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-06-13 | 2024-07-27 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-06-13 | 2024-07-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-13 | 2024-07-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-13 | 2024-07-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-06-13 | 2024-07-27 | 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 | 2023-01-27 | 2023-02-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-01-27 | 2023-02-01 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-01-27 | 2023-02-01 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-01-27 | 2023-02-01 | 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 | 2023-01-27 | 2023-02-01 | 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 | 2023-01-27 | 2023-02-01 | 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 | 2023-01-27 | 2023-02-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-27 | 2023-02-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-01-27 | 2023-02-01 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2023-01-27 | 2023-02-01 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-01-27 | 2023-02-01 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-01-27 | 2023-02-01 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-01-27 | 2023-02-01 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-01-27 | 2023-02-01 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-01-27 | 2023-02-01 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-01-27 | 2023-02-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-01-27 | 2023-02-01 | 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 | 2023-01-27 | 2023-02-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-27 | 2023-02-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-27 | 2023-02-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-27 | 2023-02-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-01-27 | 2023-02-01 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-01-27 | 2023-02-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-21 | 2022-10-21 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2021-02-10 | 2021-03-26 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2021-02-10 | 2021-03-26 | 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 | 2021-02-10 | 2021-03-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-10 | 2021-03-26 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-02-10 | 2021-03-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-10 | 2021-03-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-02-10 | 2021-03-26 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-02-10 | 2021-03-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-02-10 | 2021-03-26 | N |
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