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Deficiency Records for Hiram W Davis Medical Ctr
A list of the most recent deficiencies for Hiram W Davis Medical Ctr. 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 Hiram W Davis Medical Ctr. 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? |
|---|---|---|---|---|
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2022-04-11 | 2023-03-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-11 | 2023-01-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-11 | 2023-01-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-04-11 | 2023-01-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-04-11 | 2023-01-10 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-04-11 | 2022-07-22 | N |
| Use approved construction type or materials. | Fire Safety | 2022-04-11 | 2022-06-17 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-04-11 | 2022-06-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-11 | 2022-06-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-11 | 2022-06-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-11 | 2022-06-17 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-03-17 | 2022-04-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-03-17 | 2022-04-26 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-03-17 | 2022-04-26 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-17 | 2022-04-26 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-04-15 | 2021-05-19 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-04-15 | 2019-05-30 | 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 | 2019-04-15 | 2019-05-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-04-15 | 2019-05-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-15 | 2019-05-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-15 | 2019-05-30 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-03-28 | 2019-05-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-03-28 | 2019-05-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-28 | 2019-05-04 | N |
| Respond appropriately to all alleged violations. | Health | 2019-03-28 | 2019-05-04 | 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 | 2019-03-28 | 2019-05-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-03-28 | 2019-05-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-03-28 | 2019-05-04 | 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 | 2019-03-28 | 2019-05-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-28 | 2019-05-04 | 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 | 2019-03-28 | 2019-05-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-28 | 2019-05-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-28 | 2019-05-04 | N |
| Keep all essential equipment working safely. | Health | 2019-03-28 | 2019-05-04 | 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 | 2017-12-19 | 2018-03-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-12-19 | 2018-03-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-12-19 | 2018-03-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-12-19 | 2018-03-14 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-12-19 | 2018-03-14 | N |
| Use approved construction type or materials. | Fire Safety | 2017-12-19 | 2018-02-27 | N |
| Install resident room doors of proper design and width. | Fire Safety | 2017-12-19 | 2018-02-27 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2017-12-19 | 2018-02-27 | 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 | 2017-12-19 | 2018-02-27 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2017-12-19 | 2018-02-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-12-19 | 2018-02-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-12-19 | 2018-02-27 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-12-19 | 2018-02-27 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-12-19 | 2018-02-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-12-19 | 2018-02-27 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2017-12-19 | 2018-02-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-12-19 | 2018-02-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-12-19 | 2018-02-27 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-11-02 | 2017-12-28 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-11-02 | 2017-12-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-04-11 | Not Fixed | N |
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