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Deficiency Records for Rocky Mount Health and Rehab Center
A list of the most recent deficiencies for Rocky Mount Health and Rehab 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 Rocky Mount Health and Rehab 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-11 | 2022-12-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-11 | 2022-10-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-07-11 | 2022-10-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-07-11 | 2022-10-31 | 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 | 2022-08-25 | 2022-10-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-25 | 2022-10-17 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-08-25 | 2022-10-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-25 | 2022-10-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-25 | 2022-10-17 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-07-11 | 2022-08-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-07-11 | 2022-08-29 | 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 | 2022-07-11 | 2022-08-29 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-07-11 | 2022-08-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-07-11 | 2022-08-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-11 | 2022-08-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-07-11 | 2022-08-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-11 | 2022-08-29 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2020-11-19 | 2021-05-03 | 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 | 2020-11-19 | 2021-05-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-11-19 | 2021-01-20 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2020-11-19 | 2021-01-20 | 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 | 2020-11-19 | 2021-01-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-11-19 | 2021-01-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-11-19 | 2021-01-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-11-19 | 2021-01-20 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2020-11-19 | 2021-01-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-11-19 | 2021-01-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-11-19 | 2021-01-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-11-19 | 2021-01-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-11-19 | 2021-01-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-11-19 | 2021-01-20 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2020-11-19 | 2021-01-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-11-19 | 2021-01-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-11-19 | 2021-01-20 | 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 | 2020-03-03 | 2020-04-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-23 | 2019-04-09 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-10-23 | 2018-12-27 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-10-23 | 2018-12-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-10-23 | 2018-12-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-23 | 2018-12-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-23 | 2018-12-27 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-10-23 | 2018-12-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-10-23 | 2018-12-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-23 | 2018-12-27 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-10-23 | 2018-12-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-03 | 2018-11-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-10-03 | 2018-11-13 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-10-03 | 2018-11-13 | 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 | 2018-10-03 | 2018-11-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-03 | 2018-11-13 | 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 | 2018-10-03 | 2018-11-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-03 | 2018-11-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-03 | 2018-11-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-03 | 2018-11-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-03 | 2018-11-13 | 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 | 2018-10-03 | 2018-11-13 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-10-03 | 2018-11-13 | N |
| Post nurse staffing information every day. | Health | 2018-10-03 | 2018-11-13 | 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 | 2018-10-03 | 2018-11-13 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-10-03 | 2018-11-13 | 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 | 2018-10-03 | 2018-11-13 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-10-03 | 2018-11-13 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-10-03 | 2018-11-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-03 | 2018-11-13 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-10-03 | 2018-11-13 | N |
| Keep all essential equipment working safely. | Health | 2018-10-03 | 2018-11-13 | N |
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