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Deficiency Records for Hudson Elms Nursing Center
A list of the most recent deficiencies for Hudson Elms Nursing 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 Hudson Elms Nursing 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? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-18 | 2024-06-19 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-07 | 2024-05-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-04-05 | 2024-05-08 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-02-22 | 2024-05-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-10 | 2023-10-26 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-06-22 | 2023-07-27 | 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 | 2023-07-25 | 2023-07-27 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-07-25 | 2023-07-27 | Y |
| 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 | 2023-06-21 | 2023-07-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-21 | 2023-07-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-21 | 2023-07-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-21 | 2023-07-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-21 | 2023-07-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-21 | 2023-07-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-21 | 2023-07-27 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-06-21 | 2023-07-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-06-21 | 2023-07-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-21 | 2023-07-27 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-05-18 | 2023-06-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-18 | 2023-06-10 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-05-18 | 2023-06-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-15 | 2023-02-16 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-20 | 2022-09-23 | 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 | 2022-08-01 | 2022-09-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-01 | 2022-09-23 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-08-01 | 2022-09-23 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2022-08-01 | 2022-09-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-01 | 2022-09-23 | Y |
| 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 | 2022-08-01 | 2022-09-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-01 | 2022-09-23 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-01 | 2022-09-23 | 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 | 2022-08-01 | 2022-09-23 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-01 | 2022-09-23 | Y |
| 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 | 2022-03-23 | 2022-04-11 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-04 | 2022-04-11 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-03-04 | 2022-04-11 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-04 | 2022-04-11 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-23 | 2020-03-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-23 | 2020-03-13 | 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 | 2020-01-23 | 2020-03-13 | 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 | 2020-01-23 | 2020-03-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-01-23 | 2020-03-13 | N |
| Provide or obtain dental services for each resident. | Health | 2020-01-23 | 2020-03-13 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2020-01-23 | 2020-03-13 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2020-01-23 | 2020-03-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-23 | 2020-03-13 | N |
| Use approved construction type or materials. | Fire Safety | 2020-01-21 | 2020-03-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-01-21 | 2020-03-13 | 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 | 2020-01-21 | 2020-03-13 | 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 | 2020-01-21 | 2020-03-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-21 | 2020-03-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-21 | 2020-03-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-01-21 | 2020-03-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-01-21 | 2020-03-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-21 | 2020-03-13 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2020-01-21 | 2020-03-13 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2020-01-21 | 2020-03-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-21 | 2020-03-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-21 | 2020-03-13 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2020-01-21 | 2020-02-28 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-11-15 | 2018-12-17 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-11-15 | 2018-12-17 | N |
| Respond appropriately to all alleged violations. | Health | 2018-11-15 | 2018-12-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-15 | 2018-12-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-15 | 2018-12-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-15 | 2018-12-17 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-11-15 | 2018-12-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-11-15 | 2018-12-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-11-15 | 2018-12-17 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2018-11-15 | 2018-12-17 | 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 | 2018-11-15 | 2018-12-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-11-15 | 2018-12-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-15 | 2018-12-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-15 | 2018-12-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-11-15 | 2018-12-17 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-11-16 | 2018-12-17 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-11-16 | 2018-12-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-11-16 | 2018-12-17 | 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 | 2018-11-16 | 2018-12-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-11-16 | 2018-12-17 | N |
| Construct fire resistant interior walls. | Fire Safety | 2018-11-16 | 2018-12-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-16 | 2018-12-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-16 | 2018-12-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-11-16 | 2018-12-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-11-16 | 2018-12-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-16 | 2018-12-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-11-16 | 2018-12-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-11-16 | 2018-12-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-16 | 2018-12-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-11-16 | 2018-12-17 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-11-16 | 2018-12-17 | N |
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