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Deficiency Records for The Home at Hearthstone
A list of the most recent deficiencies for The Home at Hearthstone. 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 The Home at Hearthstone. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-25 | 2024-08-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-25 | 2024-08-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-25 | 2024-08-16 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-07-30 | 2024-08-16 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2024-07-30 | 2024-08-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-30 | 2024-08-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-30 | 2024-08-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-07-30 | 2024-08-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-16 | 2023-05-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-28 | 2022-06-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-05-28 | 2022-06-17 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-22 | 2022-06-17 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-04-22 | 2022-06-17 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-02-03 | 2022-03-04 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-02-03 | 2022-03-04 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-02-03 | 2022-03-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-03 | 2022-03-04 | 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 | 2022-02-03 | 2022-03-04 | 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 | 2022-02-03 | 2022-03-04 | 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 | 2022-02-03 | 2022-03-04 | Y |
| Develop a communication plan. | Fire Safety | 2022-01-31 | 2022-03-04 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-01-31 | 2022-03-04 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-01-31 | 2022-03-04 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-01-31 | 2022-03-04 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-01-31 | 2022-03-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-01-31 | 2022-03-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-01-31 | 2022-03-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-01-31 | 2022-03-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-01-31 | 2022-03-04 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-01-31 | 2022-03-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-31 | 2022-03-04 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-01-31 | 2022-03-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-01-31 | 2022-03-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-31 | 2022-03-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-31 | 2022-03-04 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-28 | 2019-05-01 | 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 | 2019-03-28 | 2019-05-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-03-28 | 2019-05-01 | 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 | 2019-03-28 | 2019-05-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-03-28 | 2019-05-01 | 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 | 2019-03-28 | 2019-05-01 | 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 | 2019-03-26 | 2019-05-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-26 | 2019-05-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-26 | 2019-05-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-03-26 | 2019-05-01 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-03-26 | 2019-05-01 | N |
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