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Deficiency Records for Galax Health and Rehab
A list of the most recent deficiencies for Galax Health and Rehab. 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 Galax Health and Rehab. 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? |
|---|---|---|---|---|
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2023-11-16 | 2023-12-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-16 | 2023-12-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-16 | 2023-12-27 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-16 | 2023-12-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-16 | 2023-12-27 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-11-16 | 2023-12-27 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-11-16 | 2023-12-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-11-16 | 2023-12-27 | 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 | 2023-11-16 | 2023-12-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-16 | 2023-12-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-16 | 2023-12-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-16 | 2023-12-27 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-11-16 | 2023-12-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-16 | 2023-12-27 | 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 | 2023-11-16 | 2023-12-27 | 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 | 2023-11-16 | 2023-12-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-16 | 2023-12-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-16 | 2023-12-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-16 | 2023-12-27 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2023-11-16 | 2023-12-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-16 | 2023-12-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-16 | 2023-12-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-11-16 | 2023-12-27 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-11-16 | 2023-12-27 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-11-16 | 2023-12-27 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-16 | 2023-12-27 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-11-16 | 2023-12-27 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-11-16 | 2023-12-27 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-11-16 | 2023-12-27 | N |
| Develop a communication plan. | Fire Safety | 2023-11-16 | 2023-12-27 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-11-16 | 2023-12-27 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-11-16 | 2023-12-27 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-11-16 | 2023-12-27 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-11-16 | 2023-12-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-16 | 2023-12-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-06 | 2023-12-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-16 | 2023-01-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-16 | 2023-01-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-16 | 2023-01-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-11-16 | 2023-01-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-16 | 2023-01-18 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-17 | 2022-05-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-12-17 | 2022-05-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-12-17 | 2022-05-12 | N |
| Use approved construction type or materials. | Fire Safety | 2021-12-17 | 2022-02-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-12-17 | 2022-02-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-12-17 | 2022-02-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-12-17 | 2022-02-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-17 | 2022-02-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-17 | 2022-02-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-16 | 2022-01-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-16 | 2021-12-31 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-12-16 | 2021-12-31 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-09-13 | 2018-10-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-13 | 2018-10-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-09-13 | 2018-10-12 | 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 | 2018-09-13 | 2018-10-12 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2018-09-13 | 2018-10-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-13 | 2018-10-12 | N |
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