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Deficiency Records for Harrisonburg Hlth and Rehab Cntr

A list of the most recent deficiencies for Harrisonburg Hlth and Rehab 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 Harrisonburg Hlth and Rehab 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?
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-08-23 2023-09-26 Y
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2023-08-23 2023-09-26 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-11-14 2022-12-22 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-11-14 2022-12-22 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-11-14 2022-12-22 Y
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2022-11-14 2022-12-22 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-11-14 2022-12-22 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-11-14 2022-12-22 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-11-14 2022-12-22 Y
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2022-11-14 2022-12-22 Y
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2022-11-14 2022-12-22 Y
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2022-11-14 2022-12-22 Y
Honor the resident's right to manage his or her financial affairs. Health 2022-05-26 2022-06-28 N
Ensure residents have reasonable access to and privacy in their use of communication methods. Health 2022-05-26 2022-06-28 N
Keep residents' personal and medical records private and confidential. Health 2022-05-26 2022-06-28 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2022-05-26 2022-06-28 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-05-26 2022-06-28 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2022-05-26 2022-06-28 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 2022-05-26 2022-06-28 N
Ensure medication error rates are not 5 percent or greater. Health 2022-05-26 2022-06-28 N
Ensure that residents are free from significant medication errors. Health 2022-05-26 2022-06-28 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 2022-05-26 2022-06-28 N
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2022-05-26 2022-06-28 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-05-26 2022-06-28 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2022-05-26 2022-06-28 N
Ensure each resident receives an accurate assessment. Health 2022-05-26 2022-06-28 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-05-26 2022-06-28 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-05-26 2022-06-28 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-03-24 2022-04-08 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-03-24 2022-04-08 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-03-24 2022-04-08 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-04-22 2021-06-01 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-04-22 2021-06-01 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2021-04-22 2021-06-01 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 2021-04-22 2021-06-01 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-04-22 2021-06-01 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 2021-04-22 2021-06-01 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-04-22 2021-06-01 N
Keep all essential equipment working safely. Health 2021-04-22 2021-06-01 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-04-28 2021-05-10 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-04-28 2021-05-10 N
Have proper power supply for life support equipment. Fire Safety 2021-04-28 2021-05-10 N
Use approved construction type or materials. Fire Safety 2019-05-17 2019-06-19 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2019-05-17 2019-06-19 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-05-17 2019-06-19 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-05-17 2019-06-19 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-05-17 2019-06-19 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-05-17 2019-06-19 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2019-05-17 2019-06-19 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-05-17 2019-06-19 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-05-02 2019-06-04 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 2019-05-02 2019-06-04 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2019-05-02 2019-06-04 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2019-05-02 2019-06-04 N
Respond appropriately to all alleged violations. Health 2019-05-02 2019-06-04 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2019-05-02 2019-06-04 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 2019-05-02 2019-06-04 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-05-02 2019-06-04 N
Provide appropriate foot care. Health 2019-05-02 2019-06-04 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-05-02 2019-06-04 N
Provide enough food/fluids to maintain a resident's health. Health 2019-05-02 2019-06-04 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2019-05-02 2019-06-04 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 2019-05-02 2019-06-04 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2019-05-02 2019-06-04 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 2019-05-02 2019-06-04 N
Provide and implement an infection prevention and control program. Health 2019-05-02 2019-06-04 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2019-05-02 2019-06-04 N
Implement emergency and standby power systems. Fire Safety 2019-05-02 2019-06-04 N

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