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Deficiency Records for Surry Community Health Center By Harborview
A list of the most recent deficiencies for Surry Community Health Center By Harborview. 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 Surry Community Health Center By Harborview. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-18 | 2024-06-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-27 | 2024-04-24 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-27 | 2024-04-24 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-27 | 2024-04-24 | Y |
| 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 | 2024-03-27 | 2024-04-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-27 | 2024-04-24 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-03-27 | 2024-04-24 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-03-27 | 2024-04-24 | N |
| Post nurse staffing information every day. | Health | 2024-03-27 | 2024-04-24 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-03-27 | 2024-04-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-27 | 2024-04-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-27 | 2024-04-24 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-03-27 | 2024-04-24 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-03-27 | 2024-04-24 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2024-03-27 | 2024-04-24 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-03-27 | 2024-04-24 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-03-27 | 2024-04-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-27 | 2024-04-24 | 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 | 2024-03-27 | 2024-04-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-27 | 2024-04-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-27 | 2024-04-24 | Y |
| 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 | 2024-03-27 | 2024-04-24 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-03-27 | 2024-04-24 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-12-01 | 2022-12-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-01 | 2022-12-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-01 | 2022-12-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-01 | 2022-12-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-01 | 2022-12-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-01 | 2022-12-26 | 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 | 2022-12-01 | 2022-12-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-12 | 2022-08-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-29 | 2021-05-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-04-29 | 2021-05-26 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-04-29 | 2021-05-26 | 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 | 2021-04-29 | 2021-05-26 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-04-29 | 2021-05-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-29 | 2021-05-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-29 | 2021-05-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-29 | 2021-05-26 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-04-29 | 2021-05-26 | 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 | 2021-04-29 | 2021-05-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-29 | 2021-05-26 | N |
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