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Deficiency Records for Snu Armstrong Co Memorial Hosp
A list of the most recent deficiencies for Snu Armstrong Co Memorial Hosp. 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 Snu Armstrong Co Memorial Hosp. 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? |
|---|---|---|---|---|
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2024-09-25 | 2024-11-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-09-25 | 2024-11-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-09-25 | 2024-11-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-25 | 2024-11-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-09-25 | 2024-11-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-09-25 | 2024-11-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-09-25 | 2024-11-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-09-25 | 2024-11-24 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2024-09-25 | 2024-11-24 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-09-25 | 2024-11-24 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-09-25 | 2024-11-24 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-09-25 | 2024-11-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-25 | 2024-11-24 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-09-19 | 2024-11-01 | 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 | 2024-09-19 | 2024-11-01 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-09-19 | 2024-11-01 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-09-19 | 2024-11-01 | 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 | 2024-09-19 | 2024-11-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-09-19 | 2024-11-01 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-09-19 | 2024-11-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-09-19 | 2024-11-01 | 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 | 2024-09-19 | 2024-11-01 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-09-19 | 2024-11-01 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-09-19 | 2024-11-01 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-09-19 | 2024-11-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-19 | 2024-11-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-24 | 2023-12-15 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2023-10-24 | 2023-12-01 | 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 | 2023-10-24 | 2023-12-01 | 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 | 2023-10-24 | 2023-12-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-24 | 2023-12-01 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2023-10-24 | 2023-12-01 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-10-24 | 2023-12-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-24 | 2023-12-01 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-10-19 | 2023-11-30 | 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 | 2023-10-19 | 2023-11-30 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-10-19 | 2023-11-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-19 | 2023-11-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-19 | 2023-11-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-19 | 2023-11-30 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2022-11-15 | 2023-01-13 | 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 | 2022-11-15 | 2023-01-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-15 | 2023-01-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-15 | 2023-01-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-11-15 | 2023-01-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-11-15 | 2023-01-13 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2022-11-15 | 2023-01-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-15 | 2023-01-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-15 | 2023-01-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-11-15 | 2023-01-13 | N |
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