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Deficiency Records for Intermountain Health Holy Rosary Hospital
A list of the most recent deficiencies for Intermountain Health Holy Rosary Hospital. 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 Intermountain Health Holy Rosary Hospital. 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 the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-06-06 | 2024-07-11 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-02-21 | 2024-04-06 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-02-21 | 2024-04-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-15 | 2024-03-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-15 | 2024-03-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-15 | 2024-03-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-02-15 | 2024-03-31 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-02-15 | 2024-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-15 | 2024-03-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-15 | 2024-03-31 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-02-28 | 2023-04-07 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-02-28 | 2023-04-07 | 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 | 2023-02-28 | 2023-04-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-28 | 2023-04-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-16 | 2023-03-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-16 | 2023-03-31 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-02-16 | 2023-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-16 | 2023-03-31 | 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 | 2022-03-07 | 2022-04-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-07 | 2022-04-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-07 | 2022-04-08 | N |
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