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Deficiency Records for Johns Island Post Acute

A list of the most recent deficiencies for Johns Island Post Acute. 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 Johns Island Post Acute. 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?
Provide properly protected cooking facilities. Fire Safety 2022-12-15 2023-04-25 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2022-12-15 2023-03-20 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-12-15 2023-03-20 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-12-15 2023-03-20 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-12-15 2023-01-03 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-12-14 2022-12-29 Y
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2021-05-21 2021-07-02 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2021-05-21 2021-07-02 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-05-21 2021-07-02 N
Ensure each resident receives an accurate assessment. Health 2021-05-21 2021-07-02 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-05-21 2021-07-02 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 2021-05-21 2021-07-02 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-05-21 2021-07-02 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-05-21 2021-07-02 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-05-21 2021-07-02 N
Provide enough food/fluids to maintain a resident's health. Health 2021-05-21 2021-07-02 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-05-21 2021-07-02 N
Post nurse staffing information every day. Health 2021-05-21 2021-07-02 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 2021-05-21 2021-07-02 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 2021-05-21 2021-07-02 N
Ensure medication error rates are not 5 percent or greater. Health 2021-05-21 2021-07-02 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 2021-05-21 2021-07-02 N
Provide and implement an infection prevention and control program. Health 2021-05-21 2021-07-02 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2019-05-20 2019-06-21 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2019-05-20 2019-06-21 N
Respond appropriately to all alleged violations. Health 2019-05-20 2019-06-21 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 2019-05-20 2019-06-21 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-05-20 2019-06-21 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 2019-05-20 2019-06-21 N
Put firmly secured handrails on each side of hallways. Health 2019-05-20 2019-06-21 N

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