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Deficiency Records for Heritage Hall Clintwood
A list of the most recent deficiencies for Heritage Hall Clintwood. 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 Heritage Hall Clintwood. 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? |
---|---|---|---|---|
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-14 | 2023-05-01 | Y |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-05-20 | 2022-10-03 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-20 | 2022-07-15 | N |
Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-05-20 | 2022-07-15 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-05-05 | 2022-06-07 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-06-20 | 2019-09-13 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-20 | 2019-09-13 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-20 | 2019-09-13 | 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 | 2019-06-20 | 2019-09-13 | 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 | 2019-06-20 | 2019-09-13 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-06-20 | 2019-09-13 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-06-20 | 2019-08-21 | N |
Keep residents' personal and medical records private and confidential. | Health | 2019-06-20 | 2019-08-21 | N |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2019-06-20 | 2019-08-21 | 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 | 2019-06-27 | 2019-07-25 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-27 | 2019-07-25 | 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 | 2018-02-26 | 2018-03-26 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-02-26 | 2018-03-26 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-02-02 | 2018-03-19 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2018-02-02 | 2018-03-19 | N |
Keep residents' personal and medical records private and confidential. | Health | 2018-02-02 | 2018-03-19 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-02-02 | 2018-03-19 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-02-02 | 2018-03-19 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-02 | 2018-03-19 | 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 | 2018-02-02 | 2018-03-19 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-02-02 | 2018-03-19 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-02-02 | 2018-03-19 | 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 | 2018-02-02 | 2018-03-19 | 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 | 2018-02-02 | 2018-03-19 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-02-02 | 2018-03-19 | N |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-02-02 | 2018-03-19 | 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 | 2018-02-02 | 2018-03-19 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-02-02 | 2018-03-19 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-02 | 2018-03-19 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-02-02 | 2018-03-19 | N |
Provide and implement an infection prevention and control program. | Health | 2018-02-02 | 2018-03-19 | N |
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