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Deficiency Records for Nelson County Health System Care Center
A list of the most recent deficiencies for Nelson County Health System Care 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 Nelson County Health System Care 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-04-01 | 2024-05-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-04-01 | 2024-05-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-01 | 2024-05-20 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-04-01 | 2024-05-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-01 | 2024-05-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-01 | 2024-05-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-01 | 2024-05-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-21 | 2024-04-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-21 | 2024-04-29 | 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 | 2024-03-21 | 2024-04-29 | 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 | 2024-03-21 | 2024-04-29 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-03-21 | 2024-04-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-21 | 2024-04-29 | 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 | 2024-03-21 | 2024-04-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-15 | 2023-04-04 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-14 | 2023-03-27 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-03-14 | 2023-03-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-14 | 2023-03-27 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-03-15 | 2023-03-20 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-10-20 | 2021-12-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-10-20 | 2021-11-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-10-20 | 2021-11-24 | 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 | 2021-10-20 | 2021-11-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-20 | 2021-11-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-19 | 2021-11-19 | 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 | 2021-10-20 | 2021-11-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-10-19 | 2021-11-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-19 | 2021-11-05 | N |
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