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Deficiency Records for Carriage Inn of Steubenville
A list of the most recent deficiencies for Carriage Inn of Steubenville. 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 Carriage Inn of Steubenville. 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? |
|---|---|---|---|---|
| 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 | 2024-03-13 | 2024-05-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-13 | 2024-05-17 | 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 | 2024-05-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-13 | 2024-05-17 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-03-13 | 2024-05-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-07 | 2022-08-24 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-05-19 | 2022-06-10 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-05-19 | 2022-06-10 | 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 | 2022-05-19 | 2022-06-10 | N |
| Provide or obtain dental services for each resident. | Health | 2022-05-19 | 2022-06-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-19 | 2022-06-10 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-05-17 | 2022-06-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-17 | 2022-06-10 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-08-05 | 2019-09-05 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-08-05 | 2019-09-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-05 | 2019-09-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-09 | 2019-09-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-05 | 2019-09-04 | 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 | 2019-08-05 | 2019-09-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-08-05 | 2019-09-04 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-05 | 2019-09-04 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-08-05 | 2019-09-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-05 | 2019-09-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-05 | 2019-09-04 | N |
| Provide activities to meet all resident's needs. | Health | 2019-08-05 | 2019-09-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-05 | 2019-09-04 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-08-05 | 2019-09-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-05 | 2019-09-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-05 | 2019-09-04 | 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 | 2019-08-05 | 2019-09-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-08-05 | 2019-09-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-08-05 | 2019-09-04 | 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 | 2019-08-05 | 2019-09-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-05 | 2019-09-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-05 | 2019-09-04 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-08-05 | 2019-09-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-05 | 2019-09-04 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-08-05 | 2019-09-04 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-08-05 | 2019-09-04 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-08-05 | 2019-09-04 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-07-09 | 2019-09-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-07-09 | 2019-09-04 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-07-09 | 2019-09-04 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-07-09 | 2019-09-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-07-09 | 2019-09-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-09 | 2019-09-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-09 | 2019-09-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-09 | 2019-09-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-09 | 2019-09-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-09 | 2019-09-04 | N |
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