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Deficiency Records for Smoky Mountain Post-Acute and Rehabilitation Cente

A list of the most recent deficiencies for Smoky Mountain Post-Acute and Rehabilitation Cente. 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 Smoky Mountain Post-Acute and Rehabilitation Cente. 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 2024-04-05 2024-07-22 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-04-05 2024-04-08 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2024-04-05 2024-04-08 Y
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-01-02 2024-02-02 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 2024-01-02 2024-01-30 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-01-02 2024-01-30 N
Provide a written emergency evacuation plan. Fire Safety 2024-01-02 2024-01-30 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-01-02 2024-01-30 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-01-02 2024-01-30 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-01-02 2024-01-30 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 2024-01-05 2024-01-26 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 2024-01-05 2024-01-26 N
Ensure each resident receives an accurate assessment. Health 2024-01-05 2024-01-26 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2024-01-05 2024-01-26 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-01-05 2024-01-26 N
Provide and implement an infection prevention and control program. Health 2024-01-05 2024-01-26 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 2023-01-18 2023-02-08 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-01-18 2023-02-08 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-01-18 2023-02-08 Y
Install corridor and hallway doors that block smoke. Fire Safety 2022-06-15 2022-06-23 Y
Provide a written emergency evacuation plan. Fire Safety 2022-05-31 2022-06-15 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-05-25 2022-06-11 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-05-25 2022-06-11 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-05-25 2022-06-11 Y
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2022-03-17 2022-05-04 Y
Assure that each resident?s assessment is updated at least once every 3 months. Health 2022-03-17 2022-05-04 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-03-17 2022-05-04 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-03-17 2022-05-04 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2022-03-17 2022-05-04 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-03-17 2022-05-04 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-03-17 2022-05-04 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-03-17 2022-05-04 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-03-17 2022-05-04 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-03-17 2022-05-04 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-10-14 2021-11-15 Y
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-06-14 2021-07-16 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2021-06-14 2021-07-13 N
Construct fire resistant interior walls. Fire Safety 2021-06-14 2021-07-08 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2019-09-11 2019-10-19 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-09-11 2019-10-19 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-09-11 2019-10-19 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2019-09-11 2019-10-19 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-09-11 2019-10-19 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2019-09-11 2019-10-19 N
Provide properly protected cooking facilities. Fire Safety 2019-09-09 2019-10-16 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2019-09-09 2019-10-16 N

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