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Deficiency Records for Altercare Thornville Inc.
A list of the most recent deficiencies for Altercare Thornville Inc.. 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 Altercare Thornville Inc.. 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? |
|---|---|---|---|---|
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-03-28 | 2024-04-10 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-03-28 | 2024-04-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-03 | 2024-01-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-03 | 2024-01-16 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-08-08 | 2023-09-29 | 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 | 2023-08-10 | 2023-09-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-10 | 2023-09-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-10 | 2023-09-01 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-08-10 | 2023-09-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-10 | 2023-09-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-10 | 2023-09-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-10 | 2023-09-01 | 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 | 2023-08-10 | 2023-09-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-10 | 2023-09-01 | 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 | 2023-08-10 | 2023-09-01 | 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 | 2023-08-10 | 2023-09-01 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-08-10 | 2023-09-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-10 | 2023-09-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-10 | 2023-09-01 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-10 | 2023-09-01 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-08 | 2023-09-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-09 | 2022-02-10 | 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 | 2021-11-05 | 2021-11-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-05 | 2021-11-30 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-08-19 | 2021-10-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-08-19 | 2021-10-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-08-19 | 2021-10-02 | 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 | 2021-08-19 | 2021-10-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-19 | 2021-10-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-19 | 2021-10-02 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-08-19 | 2021-10-02 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-04-04 | 2019-05-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-04-04 | 2019-05-31 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-04-04 | 2019-05-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-04-04 | 2019-05-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-04 | 2019-05-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-04 | 2019-05-31 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-04-04 | 2019-05-31 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-04-04 | 2019-05-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-04 | 2019-05-31 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-04-04 | 2019-05-31 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-04-04 | 2019-05-31 | 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 | 2019-04-01 | 2019-05-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-04-01 | 2019-05-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-01 | 2019-05-31 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-04-01 | 2019-05-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-01 | 2019-05-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-01 | 2019-05-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-01 | 2019-05-31 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2023-08-08 | Not Fixed | N |
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