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Deficiency Records for Harbor Healthcare of Ironton
A list of the most recent deficiencies for Harbor Healthcare of Ironton. 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 Harbor Healthcare of Ironton. 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 | 2023-03-30 | 2023-06-12 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-04-10 | 2023-05-24 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-04-10 | 2023-05-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-10 | 2023-05-24 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-04-10 | 2023-05-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-10 | 2023-05-24 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-04-10 | 2023-05-24 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-04-10 | 2023-05-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-10 | 2023-05-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-10 | 2023-05-24 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-04-10 | 2023-05-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-10 | 2023-05-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-10 | 2023-05-24 | 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 | 2023-04-10 | 2023-05-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-04-10 | 2023-05-24 | 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 | 2023-04-10 | 2023-05-24 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-10 | 2023-05-24 | 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 | 2023-04-10 | 2023-05-24 | N |
| Provide or obtain dental services for each resident. | Health | 2023-04-10 | 2023-05-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-10 | 2023-05-24 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-04-10 | 2023-05-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-10 | 2023-05-24 | Y |
| Develop a communication plan. | Fire Safety | 2023-03-30 | 2023-05-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-30 | 2023-05-24 | 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 | 2023-03-30 | 2023-05-24 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-03-30 | 2023-05-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-30 | 2023-05-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-07 | 2023-02-20 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-07 | 2023-02-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-29 | 2022-09-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-06 | 2022-05-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-02-27 | 2020-03-30 | N |
| Provide activities to meet all resident's needs. | Health | 2020-02-27 | 2020-03-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-27 | 2020-03-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-27 | 2020-03-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-27 | 2020-03-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-27 | 2020-03-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-02-27 | 2020-03-30 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2020-02-27 | 2020-03-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-27 | 2020-03-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-27 | 2020-03-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-02-27 | 2020-03-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-02-24 | 2020-03-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-02-24 | 2020-03-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-12-19 | 2019-01-31 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2018-12-19 | 2019-01-31 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-12-19 | 2019-01-31 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2018-12-19 | 2019-01-31 | 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 | 2018-12-19 | 2019-01-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-12-19 | 2019-01-31 | 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 | 2018-12-19 | 2019-01-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-12-19 | 2019-01-31 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-12-19 | 2019-01-31 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-12-19 | 2019-01-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-12-19 | 2019-01-31 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-12-19 | 2019-01-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-12-19 | 2019-01-31 | N |
| Provide activities to meet all resident's needs. | Health | 2018-12-19 | 2019-01-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-19 | 2019-01-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-19 | 2019-01-31 | 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 | 2018-12-19 | 2019-01-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-12-19 | 2019-01-31 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-12-19 | 2019-01-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-12-19 | 2019-01-31 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-12-19 | 2019-01-31 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2018-12-19 | 2019-01-31 | 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 | 2018-12-19 | 2019-01-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-12-19 | 2019-01-31 | 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 | 2018-12-19 | 2019-01-31 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-12-19 | 2019-01-31 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-12-19 | 2019-01-31 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-12-19 | 2019-01-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-19 | 2019-01-31 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-12-19 | 2019-01-31 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-12-18 | 2019-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-18 | 2019-01-31 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2018-12-18 | 2019-01-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-12-18 | 2019-01-31 | N |
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