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Deficiency Records for Jennings Hall
A list of the most recent deficiencies for Jennings Hall. 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 Jennings Hall. 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 enough food/fluids to maintain a resident's health. | Health | 2024-01-16 | 2024-03-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-16 | 2024-03-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-15 | 2023-12-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-15 | 2023-12-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-19 | 2023-05-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-19 | 2023-05-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-19 | 2023-05-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-19 | 2023-05-20 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-05-16 | 2022-06-30 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-05-16 | 2022-06-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-16 | 2022-06-30 | 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 | 2022-05-16 | 2022-06-30 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-16 | 2022-06-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-16 | 2022-06-30 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-05-10 | 2022-06-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-10 | 2022-06-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-05-10 | 2022-06-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-05-10 | 2022-06-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-05-10 | 2022-06-30 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-05-10 | 2022-06-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-10 | 2022-06-30 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2019-09-12 | 2019-12-06 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2019-09-12 | 2019-11-27 | 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 | 2019-09-12 | 2019-11-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-12 | 2019-11-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-12 | 2019-11-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-12 | 2019-11-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-12 | 2019-11-27 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-09-12 | 2019-11-27 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-09-12 | 2019-11-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-12 | 2019-11-27 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-09-12 | 2019-11-01 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-09-12 | 2019-11-01 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-09-12 | 2019-11-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-08-23 | 2018-10-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-08-23 | 2018-10-05 | N |
| Respond appropriately to all alleged violations. | Health | 2018-08-23 | 2018-10-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-23 | 2018-10-05 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-08-22 | 2018-10-05 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-08-22 | 2018-10-05 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-08-22 | 2018-10-05 | 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 | 2018-08-22 | 2018-10-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-08-22 | 2018-10-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-08-22 | 2018-10-05 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-08-22 | 2018-10-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-22 | 2018-10-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-22 | 2018-10-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-08-22 | 2018-10-05 | N |
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