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Deficiency Records for Cuba Memorial Hospital Inc Snf
A list of the most recent deficiencies for Cuba Memorial Hospital Inc Snf. 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 Cuba Memorial Hospital Inc Snf. 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-17 | 2024-07-18 | 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 | 2024-05-17 | 2024-06-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-17 | 2024-06-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-05-17 | 2024-06-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-17 | 2024-06-29 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-05-17 | 2024-06-29 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-05-17 | 2024-06-29 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-05-17 | 2024-06-29 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-05-17 | 2024-06-29 | 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 | 2024-05-17 | 2024-06-29 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-05-17 | 2024-06-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-17 | 2024-06-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-17 | 2024-06-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-17 | 2024-06-29 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-05-17 | 2024-06-29 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2024-05-17 | 2024-06-29 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-05-17 | 2024-06-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-17 | 2024-06-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-17 | 2024-05-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-08 | 2024-01-05 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-12-08 | 2023-12-07 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-09-22 | 2022-10-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-22 | 2022-10-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-22 | 2022-10-28 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-22 | 2022-10-28 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-09-22 | 2022-10-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-09-22 | 2022-10-21 | 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 | 2022-09-22 | 2022-10-20 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-09-22 | 2022-10-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-22 | 2022-10-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-22 | 2022-10-20 | N |
| Post nurse staffing information every day. | Health | 2022-09-22 | 2022-10-14 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-09-22 | 2022-10-14 | N |
| Respond appropriately to all alleged violations. | Health | 2022-09-22 | 2022-10-14 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-12 | 2020-02-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-12-12 | 2020-01-30 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2019-12-12 | 2020-01-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-12 | 2020-01-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-12 | 2020-01-20 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-12-12 | 2020-01-15 | 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 | 2019-12-12 | 2020-01-10 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-12-12 | 2019-12-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-22 | Not Fixed | N |
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