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Deficiency Records for Hampton House Rehabilitation and Nursing Center
A list of the most recent deficiencies for Hampton House Rehabilitation and 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 Hampton House Rehabilitation and 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-02 | 2024-08-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-02 | 2024-08-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-02 | 2024-08-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-02 | 2024-08-06 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-07-02 | 2024-08-06 | Y |
| Keep all essential equipment working safely. | Health | 2024-07-02 | 2024-08-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-28 | 2024-04-12 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-02-28 | 2024-04-12 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-26 | 2023-10-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-26 | 2023-10-13 | 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 | 2023-09-01 | 2023-10-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-01 | 2023-10-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-01 | 2023-10-06 | 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 | 2023-09-01 | 2023-10-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-01 | 2023-10-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-01 | 2023-10-06 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-09-01 | 2023-10-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-01 | 2023-10-06 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-01 | 2023-10-06 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-09-01 | 2023-10-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-20 | 2023-05-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-20 | 2023-05-16 | 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 | 2023-04-04 | 2023-05-16 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-04-04 | 2023-05-16 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-01-27 | 2023-03-14 | 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 | 2023-01-27 | 2023-03-14 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-01-27 | 2023-03-14 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-01-27 | 2023-03-14 | Y |
| 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 | 2022-10-21 | 2022-12-08 | 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 | 2022-10-21 | 2022-12-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-21 | 2022-12-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-21 | 2022-12-08 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-10-21 | 2022-12-08 | 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 | 2022-10-21 | 2022-12-08 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-10-21 | 2022-12-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-21 | 2022-12-08 | 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 | 2022-10-21 | 2022-12-08 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-10-21 | 2022-12-08 | 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 | 2022-10-21 | 2022-12-08 | 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 | 2022-10-21 | 2022-12-08 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2022-10-21 | 2022-12-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-21 | 2022-12-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-10-21 | 2022-12-08 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-09-13 | 2022-12-08 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2022-10-05 | 2022-11-22 | N |
| Meet other general requirements. | Fire Safety | 2022-10-05 | 2022-11-22 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-10-05 | 2022-11-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-10-05 | 2022-11-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-05 | 2022-11-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-05 | 2022-11-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-05 | 2022-11-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-05 | 2022-11-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-05 | 2022-11-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-05 | 2022-11-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-10-05 | 2022-11-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-05 | 2022-11-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-05 | 2022-11-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-10-05 | 2022-11-22 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-10-05 | 2022-11-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-21 | 2022-11-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-13 | 2022-10-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-02 | 2022-10-12 | Y |
| 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 | 2022-08-02 | 2022-10-12 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-08-02 | 2022-10-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-02 | 2022-09-13 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-02 | 2022-09-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-02 | 2022-09-13 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-06-28 | 2022-08-02 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-02-02 | 2022-02-17 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-02 | 2022-02-17 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-12-17 | 2022-02-17 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-11-09 | 2022-02-02 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-11-09 | 2022-02-02 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-11-09 | 2022-02-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-17 | 2022-02-02 | 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 | 2021-12-17 | 2022-02-02 | 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 | 2021-12-17 | 2022-02-02 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-17 | 2022-02-02 | N |
| Respond appropriately to all alleged violations. | Health | 2021-12-17 | 2022-02-02 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-12-17 | 2022-02-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-17 | 2022-02-02 | 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 | 2021-12-17 | 2022-02-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-17 | 2022-02-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-17 | 2022-02-02 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-12-17 | 2022-02-02 | 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 | 2021-12-17 | 2022-02-02 | 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 | 2021-12-17 | 2022-02-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-17 | 2022-02-02 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-12-17 | 2022-02-02 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2021-12-17 | 2022-02-02 | 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 | 2021-12-29 | 2022-01-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-29 | 2022-01-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-29 | 2022-01-18 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-12-29 | 2022-01-18 | 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 | 2024-07-02 | Not Fixed | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-11-16 | Not Fixed | 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 | 2023-11-16 | Not Fixed | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-16 | Not Fixed | Y |
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