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Deficiency Records for Consulate Healthcare of Williamsburg
A list of the most recent deficiencies for Consulate Healthcare of Williamsburg. 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 Consulate Healthcare of Williamsburg. 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 emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-05-24 | 2024-07-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-24 | 2024-07-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-24 | 2024-07-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-05-24 | 2024-07-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-24 | 2024-07-01 | N |
| Meet other general requirements. | Fire Safety | 2024-05-24 | 2024-07-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-25 | 2024-06-03 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-04-25 | 2024-06-03 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2024-04-25 | 2024-06-03 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-04-25 | 2024-06-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-25 | 2024-06-03 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-04-25 | 2024-06-03 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-19 | 2022-06-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-12 | 2022-06-28 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-06-22 | 2022-06-28 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-06-22 | 2022-06-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-22 | 2022-06-28 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-05-12 | 2022-06-28 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-05-12 | 2022-06-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-12 | 2022-06-15 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-05-12 | 2022-06-15 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-05-12 | 2022-06-15 | 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 | 2022-05-12 | 2022-06-15 | 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 | 2022-05-12 | 2022-06-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-12 | 2022-06-15 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-05-12 | 2022-06-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-12 | 2022-06-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-05-12 | 2022-06-15 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-05-12 | 2022-06-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-12 | 2022-06-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-12 | 2022-06-15 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-05-12 | 2022-06-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-31 | 2022-04-22 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2022-03-31 | 2022-04-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-31 | 2022-04-22 | Y |
| Help the resident make transportation arrangements to and from radiology services. | Health | 2022-03-31 | 2022-04-22 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-03-31 | 2022-04-22 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-31 | 2022-04-22 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-31 | 2022-04-22 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-03-05 | 2020-04-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-03-05 | 2020-04-14 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-03-05 | 2020-04-14 | 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 | 2020-03-05 | 2020-04-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-03-05 | 2020-04-14 | 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 | 2020-03-05 | 2020-04-14 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2020-03-05 | 2020-04-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-03-05 | 2020-04-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-05 | 2020-04-14 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-11-02 | Not Fixed | N |
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