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Deficiency Records for Pleasant Springs Healthcare Center
A list of the most recent deficiencies for Pleasant Springs Healthcare Center. 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 Pleasant Springs Healthcare Center. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-07-02 | 2024-07-05 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-01-11 | 2024-01-11 | 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 | 2024-01-11 | 2024-01-11 | 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 | 2024-01-11 | 2024-01-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-11 | 2024-01-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-01-11 | 2024-01-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-11 | 2024-01-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-11 | 2024-01-11 | 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 | 2024-01-11 | 2024-01-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-11 | 2024-01-11 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-01-11 | 2024-01-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-11 | 2024-01-11 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-01-11 | 2024-01-11 | 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 | 2024-01-11 | 2024-01-11 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-01-11 | 2024-01-11 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-11 | 2024-01-11 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-01-11 | 2024-01-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-11 | 2024-01-11 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-01-11 | 2024-01-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-11 | 2024-01-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-02 | 2023-10-26 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-12-20 | 2023-01-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-12-20 | 2023-01-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-20 | 2023-01-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-20 | 2023-01-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-20 | 2023-01-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-11-09 | 2022-11-22 | 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 | 2022-11-09 | 2022-11-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-09 | 2022-11-22 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-11-09 | 2022-11-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-11-09 | 2022-11-22 | 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 | 2022-11-09 | 2022-11-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-09 | 2022-11-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-09 | 2022-11-22 | Y |
| 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 | 2022-07-13 | 2022-08-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-13 | 2022-08-12 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-07-13 | 2022-08-12 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-07-13 | 2022-08-12 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-13 | 2022-08-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-24 | 2022-02-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-02 | 2022-02-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-09-22 | 2021-10-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-22 | 2021-10-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-22 | 2021-10-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-22 | 2021-10-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-09-22 | 2021-10-21 | N |
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