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Deficiency Records for Community Memorial Health Center
A list of the most recent deficiencies for Community Memorial Health 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 Community Memorial Health 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-18 | 2023-11-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-18 | 2023-11-25 | N |
| Provide activities to meet all resident's needs. | Health | 2023-10-18 | 2023-11-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-18 | 2023-11-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-18 | 2023-11-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-18 | 2023-11-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-18 | 2023-11-25 | 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 | 2023-10-18 | 2023-11-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-18 | 2023-11-25 | 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 | 2023-10-18 | 2023-11-25 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-18 | 2023-11-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-18 | 2023-11-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-17 | 2023-11-25 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-10-17 | 2023-11-25 | N |
| Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled. | Fire Safety | 2023-10-17 | 2023-11-25 | 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 | 2022-09-27 | 2022-11-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-27 | 2022-11-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-27 | 2022-11-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-27 | 2022-11-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-27 | 2022-11-07 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-09-22 | 2022-11-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-22 | 2022-11-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-22 | 2022-11-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-24 | 2021-07-30 | 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 | 2021-06-23 | 2021-07-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-23 | 2021-07-30 | N |
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