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Deficiency Records for Vernon Green Nursing Home

A list of the most recent deficiencies for Vernon Green Nursing Home. 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 Vernon Green Nursing Home. 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?
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-12-04 2024-01-06 Y
Respond appropriately to all alleged violations. Health 2023-12-04 2024-01-06 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-12-04 2024-01-06 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-12-04 2024-01-06 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-12-04 2024-01-06 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 2023-12-04 2024-01-06 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-12-04 2024-01-06 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-12-04 2024-01-06 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-12-04 2024-01-06 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-04 2024-01-06 N
Observe each nurse aide's job performance and give regular training. Health 2023-12-04 2024-01-06 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2023-12-04 2024-01-06 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 2023-12-04 2024-01-06 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 2023-12-04 2024-01-06 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-12-04 2024-01-06 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2023-12-04 2024-01-06 N
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Health 2023-12-04 2024-01-06 N
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Health 2023-12-04 2024-01-06 N
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. Health 2023-12-04 2024-01-06 N
Provide and implement an infection prevention and control program. Health 2023-12-04 2024-01-06 N
Implement a program that monitors antibiotic use. Health 2023-12-04 2024-01-06 N
Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. Health 2023-12-04 2024-01-06 N
Provide enough food/fluids to maintain a resident's health. Health 2023-10-04 2023-10-25 Y
Provide or obtain dental services for each resident. Health 2023-10-04 2023-10-25 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-11-18 2022-12-30 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 2022-11-18 2022-12-30 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2022-11-18 2022-12-30 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-11-18 2022-12-30 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-11-18 2022-12-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-11-18 2022-12-30 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-11-18 2022-12-30 N
Provide and implement an infection prevention and control program. Health 2022-11-18 2022-12-30 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2021-10-29 2022-01-13 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-10-29 2022-01-13 N
Meet other general requirements that are deficient. Fire Safety 2021-10-29 2022-01-13 N
Ensure each resident receives an accurate assessment. Health 2021-10-27 2021-12-21 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-10-27 2021-12-21 N
Provide enough food/fluids to maintain a resident's health. Health 2021-10-27 2021-12-21 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2021-10-27 2021-12-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-10-27 2021-12-21 N
Provide and implement an infection prevention and control program. Health 2021-10-27 2021-12-21 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-11-27 Not Fixed N

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