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Deficiency Records for Community Memorial Hospital Hundley Center
A list of the most recent deficiencies for Community Memorial Hospital Hundley 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 Community Memorial Hospital Hundley 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? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-08 | 2023-11-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-08 | 2023-11-28 | 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 | 2023-05-08 | 2023-06-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-08 | 2023-06-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-08 | 2023-06-27 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-05-08 | 2023-06-27 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-05-03 | 2023-06-16 | 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 | 2023-05-03 | 2023-06-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-03 | 2023-06-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-03 | 2023-06-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-03 | 2023-06-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-03 | 2023-06-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-06-16 | 2021-08-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-16 | 2021-08-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-06-16 | 2021-08-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-16 | 2021-08-04 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-06-10 | 2021-07-22 | 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 | 2021-06-10 | 2021-07-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-10 | 2021-07-22 | N |
| Dispose of garbage and refuse properly. | Health | 2021-06-10 | 2021-07-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-06-10 | 2021-07-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-17 | 2019-08-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-17 | 2019-08-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-30 | 2019-07-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-30 | 2019-07-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-05-30 | 2019-07-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-30 | 2019-07-12 | 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 | 2019-05-30 | 2019-07-12 | 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 | 2019-05-30 | 2019-07-12 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2019-05-30 | 2019-07-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-05-30 | 2019-07-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-30 | 2019-07-12 | 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 | 2019-05-30 | 2019-07-12 | N |
| Post nurse staffing information every day. | Health | 2019-05-30 | 2019-07-12 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-05-30 | 2019-07-12 | 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 | 2019-05-30 | 2019-07-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-30 | 2019-07-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-30 | 2019-07-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-05-30 | 2019-07-12 | N |
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