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Deficiency Records for Rocky Mountain Care - Clearfield
A list of the most recent deficiencies for Rocky Mountain Care - Clearfield. 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 Rocky Mountain Care - Clearfield. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-18 | 2023-02-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-18 | 2023-02-10 | 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 | 2022-08-09 | 2022-09-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-09 | 2022-09-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-09 | 2022-09-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-08-09 | 2022-09-09 | 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 | 2022-08-09 | 2022-09-09 | 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 | 2022-08-09 | 2022-09-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-08-09 | 2022-09-09 | 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 | 2022-08-09 | 2022-09-09 | 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 | 2022-08-09 | 2022-09-09 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-08-09 | 2022-09-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-09 | 2022-09-09 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-08-09 | 2022-09-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-09 | 2022-09-09 | 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 | 2022-08-09 | 2022-09-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-09 | 2022-09-09 | 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 | 2022-08-11 | 2022-08-31 | 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 | 2022-08-11 | 2022-08-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-11 | 2022-08-31 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2022-08-11 | 2022-08-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-08-11 | 2022-08-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-02-05 | 2020-03-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-02-05 | 2020-03-27 | 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 | 2020-02-05 | 2020-03-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-05 | 2020-03-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-05 | 2020-03-27 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2020-02-10 | 2020-03-10 | 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 | 2020-02-10 | 2020-03-10 | 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 | 2020-02-10 | 2020-03-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-10 | 2020-03-10 | 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 | 2020-02-10 | 2020-03-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-10 | 2020-03-10 | 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 | 2020-02-10 | 2020-03-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-10 | 2020-03-10 | 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 | 2020-02-10 | 2020-03-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-10 | 2020-03-10 | 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 | 2020-02-10 | 2020-03-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-10 | 2020-03-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-05 | 2020-02-28 | 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 | 2020-02-05 | 2020-02-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-02-05 | 2020-02-05 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-01-17 | 2019-03-15 | 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 | 2019-01-17 | 2019-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-17 | 2019-03-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-17 | 2019-03-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-01-17 | 2019-02-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-01-17 | 2019-02-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-17 | 2019-02-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-01-10 | 2019-02-15 | 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 | 2019-01-10 | 2019-02-15 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-01-10 | 2019-02-15 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-01-10 | 2019-02-15 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-01-10 | 2019-02-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-01-10 | 2019-02-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-10 | 2019-02-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-10 | 2019-02-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-10 | 2019-02-15 | 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 | 2019-01-10 | 2019-02-15 | 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 | 2019-01-10 | 2019-02-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-01-10 | 2019-02-15 | 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 | 2019-01-10 | 2019-02-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-01-10 | 2019-02-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-10 | 2019-02-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-01-10 | 2019-02-15 | N |
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