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Deficiency Records for Soldiers and Sailors Memorial Hospital E C U
A list of the most recent deficiencies for Soldiers and Sailors Memorial Hospital E C U. 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 Soldiers and Sailors Memorial Hospital E C U. 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? |
|---|---|---|---|---|
| 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 | 2024-11-04 | 2024-12-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-04 | 2024-12-30 | 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 | 2024-11-04 | 2024-12-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-04 | 2024-12-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-11-04 | 2024-12-30 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-11-04 | 2024-12-18 | 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 | 2024-11-04 | 2024-12-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-11-04 | 2024-12-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-11-04 | 2024-12-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-11-04 | 2024-12-18 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-11-04 | 2024-12-18 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-11-04 | 2024-12-12 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2022-09-30 | 2022-11-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-30 | 2022-11-21 | N |
| Post nurse staffing information every day. | Health | 2022-09-30 | 2022-11-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-30 | 2022-11-21 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-09-30 | 2022-11-21 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-09-30 | 2022-11-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-30 | 2022-11-01 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-11-22 | 2020-01-20 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-11-22 | 2020-01-20 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2019-11-22 | 2020-01-20 | 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 | 2019-11-22 | 2020-01-20 | 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 | 2019-11-22 | 2020-01-20 | 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 | 2019-11-22 | 2020-01-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-22 | 2020-01-20 | N |
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