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Deficiency Records for Sarah Ann Hester Memorial Home
A list of the most recent deficiencies for Sarah Ann Hester Memorial Home. 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 Sarah Ann Hester Memorial Home. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-30 | 2024-01-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-30 | 2024-01-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-30 | 2024-01-14 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-28 | 2024-01-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-28 | 2024-01-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-11-28 | 2024-01-14 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-11-28 | 2024-01-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-15 | 2022-12-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-15 | 2022-12-30 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-11-17 | 2022-12-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-11-17 | 2022-12-28 | 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 | 2022-11-17 | 2022-12-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-11-17 | 2022-12-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-17 | 2022-12-28 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-11-17 | 2022-12-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-17 | 2022-12-28 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-11-17 | 2022-12-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-04 | 2021-06-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-05-04 | 2021-06-19 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-05-05 | 2021-05-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-05-05 | 2021-05-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-05 | 2021-05-21 | 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 | 2021-05-05 | 2021-05-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-05 | 2021-05-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-05 | 2021-05-21 | N |
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