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Deficiency Records for Smith Health Care Ltd
A list of the most recent deficiencies for Smith Health Care Ltd. 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 Smith Health Care Ltd. 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-08-23 | 2024-09-06 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2024-08-23 | 2024-09-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-28 | 2024-08-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-06-28 | 2024-08-23 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-06-28 | 2024-08-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-28 | 2024-08-23 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-06-28 | 2024-08-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-28 | 2024-08-23 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-06-28 | 2024-08-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-28 | 2024-08-23 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-06-28 | 2024-08-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-28 | 2024-08-23 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-03-19 | 2024-05-17 | 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 | 2024-03-19 | 2024-05-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-19 | 2024-05-17 | 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 | 2024-03-19 | 2024-05-17 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-03-19 | 2024-05-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-19 | 2024-05-17 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-03-19 | 2024-05-17 | Y |
| 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 | 2024-03-19 | 2024-05-17 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2024-03-19 | 2024-05-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-19 | 2024-05-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-19 | 2024-05-17 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-05-18 | 2023-06-30 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-05-18 | 2023-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-18 | 2023-06-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-30 | 2023-06-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-30 | 2023-06-30 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-06-13 | 2022-08-12 | N |
| Use approved construction type or materials. | Fire Safety | 2022-06-13 | 2022-08-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-13 | 2022-08-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-06-13 | 2022-08-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-13 | 2022-08-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-13 | 2022-08-12 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2022-06-13 | 2022-08-12 | 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 | 2022-06-03 | 2022-07-30 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-06-03 | 2022-07-30 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-06-03 | 2022-07-30 | N |
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