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Deficiency Records for Claiborne and Hughes Hlth Cntr

A list of the most recent deficiencies for Claiborne and Hughes Hlth Cntr. 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 Claiborne and Hughes Hlth Cntr. 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 2023-10-27 2023-12-08 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-10-27 2023-12-08 Y
Respond appropriately to all alleged violations. Health 2023-10-27 2023-12-08 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-10-27 2023-12-08 Y
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-09-27 2023-10-09 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 2023-06-15 2023-07-28 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2023-06-15 2023-07-28 N
Ensure each resident receives an accurate assessment. Health 2023-06-15 2023-07-28 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 2023-06-15 2023-07-28 N
Provide enough food/fluids to maintain a resident's health. Health 2023-06-15 2023-07-28 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-06-15 2023-07-28 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-06-15 2023-07-28 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 2023-06-15 2023-07-28 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2023-06-15 2023-07-28 N
Provide and implement an infection prevention and control program. Health 2023-06-15 2023-07-28 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-06-15 2023-07-28 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-06-15 2023-07-28 Y
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 2023-06-13 2023-07-28 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 2023-06-13 2023-07-28 N
Provide properly protected cooking facilities. Fire Safety 2023-06-13 2023-07-28 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-06-13 2023-07-28 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-06-13 2023-07-28 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-07-19 2021-08-30 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2021-07-19 2021-08-30 N
Ensure each resident receives an accurate assessment. Health 2021-07-19 2021-08-30 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 2021-07-19 2021-08-30 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-07-19 2021-08-30 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-07-19 2021-08-30 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2021-07-19 2021-08-30 N
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 2021-07-19 2021-08-30 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2021-07-19 2021-08-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-07-19 2021-08-30 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2021-07-19 2021-08-30 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2021-07-19 2021-08-30 N
Provide and implement an infection prevention and control program. Health 2021-07-19 2021-08-30 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2019-11-18 2020-01-22 N
Create arrangements with other facilities to receive patients. Fire Safety 2019-11-18 2020-01-22 N
List the names and contact information of those in the facility. Fire Safety 2019-11-18 2020-01-22 N
Provide primary/alternate means for communication. Fire Safety 2019-11-18 2020-01-22 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2019-11-18 2020-01-22 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 2019-11-18 2020-01-22 N
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. Fire Safety 2019-11-18 2020-01-22 N
Have corridors or aisles that are unobstructed and are at least 8 feet in width. Fire Safety 2019-11-18 2020-01-22 N
Have exits that are accessible at all times. Fire Safety 2019-11-18 2020-01-22 N
Have an enclosure around a vertical opening shaft. Fire Safety 2019-11-18 2020-01-22 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 2019-11-18 2020-01-22 N
Provide properly protected cooking facilities. Fire Safety 2019-11-18 2020-01-22 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-11-18 2020-01-22 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-11-18 2020-01-22 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2019-11-18 2020-01-22 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2019-11-18 2020-01-22 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2019-11-18 2020-01-22 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-11-18 2020-01-22 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-11-19 2020-01-03 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-11-19 2020-01-03 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 2019-11-19 2020-01-03 N
Ensure medication error rates are not 5 percent or greater. Health 2019-11-19 2020-01-03 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 2019-11-19 2020-01-03 N
Put firmly secured handrails on each side of hallways. Health 2019-11-19 2020-01-03 N

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