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Deficiency Records for The Carrolton of Williamston
A list of the most recent deficiencies for The Carrolton of Williamston. 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 The Carrolton of Williamston. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2024-04-09 | 2024-06-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-04-09 | 2024-06-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-04-09 | 2024-06-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-04-09 | 2024-06-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-04-09 | 2024-06-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-09 | 2024-06-24 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-03-13 | 2024-04-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-03-13 | 2024-04-12 | N |
| 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 | 2024-03-13 | 2024-04-12 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2024-03-13 | 2024-04-12 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-03-13 | 2024-04-12 | N |
| Post nurse staffing information every day. | Health | 2024-03-13 | 2024-04-12 | 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 | 2024-03-13 | 2024-04-12 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-03-13 | 2024-04-12 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-03-13 | 2024-04-12 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2024-03-13 | 2024-04-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-13 | 2024-04-12 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-03-13 | 2024-04-12 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-03-13 | 2024-04-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-13 | 2024-04-12 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-03-13 | 2024-04-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-13 | 2024-04-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-13 | 2024-04-12 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-03-13 | 2024-04-12 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-13 | 2024-04-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-07 | 2023-10-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-27 | 2023-03-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-27 | 2023-03-07 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-02-27 | 2023-03-07 | Y |
| Meet other general requirements. | Fire Safety | 2022-12-13 | 2023-02-17 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2022-12-13 | 2023-02-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-13 | 2023-02-17 | 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 | 2022-12-13 | 2023-02-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-13 | 2023-02-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-12-13 | 2023-02-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-13 | 2023-02-17 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-11-18 | 2022-12-30 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-11-18 | 2022-12-30 | 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 | 2022-11-18 | 2022-12-30 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-11-18 | 2022-12-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-18 | 2022-12-30 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2022-11-18 | 2022-12-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-18 | 2022-12-23 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-11-18 | 2022-12-21 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-11-18 | 2022-12-21 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-11-18 | 2022-12-21 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2022-11-18 | 2022-12-21 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-11-18 | 2022-12-21 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-11-18 | 2022-12-21 | 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 | 2022-11-18 | 2022-12-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-18 | 2022-12-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-11-18 | 2022-12-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-18 | 2022-12-16 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-11-18 | 2022-12-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-18 | 2022-12-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-24 | 2021-07-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-10 | 2021-07-08 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-06-10 | 2021-07-08 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-06-10 | 2021-07-08 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-06-10 | 2021-07-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-10 | 2021-07-08 | 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 | 2021-06-10 | 2021-07-08 | 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 | 2021-06-10 | 2021-07-08 | 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 | 2021-06-10 | 2021-07-08 | N |
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