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Deficiency Records for Carrington Place of Tappahannock
A list of the most recent deficiencies for Carrington Place of Tappahannock. 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 Carrington Place of Tappahannock. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-17 | 2024-09-16 | 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 | 2024-07-17 | 2024-09-16 | 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 | 2024-07-17 | 2024-09-16 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-07-17 | 2024-09-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-17 | 2024-09-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-17 | 2024-09-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-07-17 | 2024-09-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-07-17 | 2024-09-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-17 | 2024-09-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-15 | 2024-08-30 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-07-15 | 2024-08-30 | 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 | 2024-07-15 | 2024-08-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-15 | 2024-08-30 | N |
| Provide activities to meet all resident's needs. | Health | 2024-07-15 | 2024-08-30 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2024-07-15 | 2024-08-30 | 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 | 2024-07-15 | 2024-08-30 | 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 | 2024-07-15 | 2024-08-30 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-07-15 | 2024-08-30 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-07-15 | 2024-08-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-15 | 2024-08-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-07-15 | 2024-08-30 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-07-15 | 2024-08-30 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2024-07-15 | 2024-08-30 | N |
| Provide training in compliance and ethics. | Health | 2024-07-15 | 2024-08-30 | 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 | 2024-07-15 | 2024-08-30 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-07-15 | 2024-08-30 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-07-20 | 2023-08-31 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-20 | 2023-08-31 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-07-20 | 2023-08-31 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-20 | 2023-08-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-20 | 2023-08-31 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-07-20 | 2023-08-31 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-20 | 2023-08-31 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-20 | 2023-08-31 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-07-20 | 2023-08-31 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-06-01 | 2023-08-31 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-01 | 2023-08-31 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-06-01 | 2023-08-31 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-01 | 2023-08-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-01 | 2023-08-31 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-06-01 | 2023-08-31 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-01 | 2023-08-31 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-01 | 2023-08-31 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-06-01 | 2023-08-31 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-06-01 | 2023-07-12 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-06-01 | 2023-07-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-01 | 2023-07-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-01 | 2023-07-12 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-06-01 | 2023-07-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-01 | 2023-07-12 | Y |
| Post nurse staffing information every day. | Health | 2023-06-01 | 2023-07-12 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-06-01 | 2023-07-12 | Y |
| 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 | 2023-06-01 | 2023-07-12 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2023-06-01 | 2023-07-12 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-06-01 | 2023-07-12 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-04-14 | 2023-05-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-14 | 2023-05-18 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-04-14 | 2023-05-18 | Y |
| Report COVID19 data to residents and families. | Health | 2023-04-14 | 2023-05-18 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2023-04-14 | 2023-05-18 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-04-14 | 2023-05-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-20 | 2022-03-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-01-20 | 2022-03-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-20 | 2022-03-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-20 | 2022-03-04 | Y |
| 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 | 2022-01-20 | 2022-03-04 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-01-20 | 2022-03-04 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-01-28 | 2022-02-21 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-01-28 | 2022-02-21 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-01-28 | 2022-02-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-28 | 2022-02-21 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-11-29 | 2019-01-11 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-12-05 | 2018-12-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-05 | 2018-12-27 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2018-11-29 | 2018-12-13 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-11-29 | 2018-12-12 | N |
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