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Deficiency Records for Rockwood South Hill

A list of the most recent deficiencies for Rockwood South Hill. 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 Rockwood South Hill. 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?
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-12-09 2025-01-15 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-12-09 2025-01-15 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-12-09 2025-01-15 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 2024-12-09 2025-01-15 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-12-09 2025-01-15 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2024-12-09 2025-01-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-12-09 2025-01-15 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-12-09 2025-01-15 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-12-09 2025-01-15 N
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2024-12-09 2025-01-15 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-12-09 2025-01-15 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 2024-12-09 2025-01-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-12-09 2025-01-15 N
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Health 2024-12-09 2025-01-15 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-12-09 2025-01-15 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 2024-12-09 2025-01-15 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2024-12-09 2025-01-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-12-09 2025-01-15 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-12-09 2025-01-15 N
Implement a program that monitors antibiotic use. Health 2024-12-09 2025-01-15 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-12-09 2025-01-15 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-12-06 2025-01-10 N
Address patient/client population and determine types of services needed. Fire Safety 2024-12-06 2025-01-10 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2024-12-06 2025-01-10 N
Establish policies and procedures including evacuation. Fire Safety 2024-12-06 2025-01-10 N
Provide family notifications of emergency plan. Fire Safety 2024-12-06 2025-01-10 N
Conduct testing and exercise requirements. Fire Safety 2024-12-06 2025-01-10 N
Provide properly protected cooking facilities. Fire Safety 2024-12-06 2025-01-10 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-12-06 2025-01-10 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2024-12-06 2025-01-10 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-12-06 2024-12-23 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-12-06 2024-12-16 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 2024-12-06 2024-12-07 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-10-16 2023-11-01 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 2023-08-03 2023-09-12 N
Assess the resident when there is a significant change in condition Health 2023-08-03 2023-09-12 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-08-03 2023-09-12 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-03 2023-09-12 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-08-03 2023-09-12 N
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Health 2023-08-03 2023-09-12 N
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Health 2023-08-03 2023-09-12 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 2023-08-03 2023-09-12 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 2023-08-03 2023-09-12 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-08-03 2023-09-12 N
Provide and implement an infection prevention and control program. Health 2023-08-03 2023-09-12 N
Establish emergency prep training and testing. Fire Safety 2023-07-26 2023-08-30 N
Establish staff and initial training requirements. Fire Safety 2023-07-26 2023-08-30 N
Conduct testing and exercise requirements. Fire Safety 2023-07-26 2023-08-30 N
Have properly located and lighted "Exit" signs. Fire Safety 2023-07-26 2023-08-30 N
Provide properly protected cooking facilities. Fire Safety 2023-07-26 2023-08-30 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-07-26 2023-08-30 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2023-07-26 2023-08-30 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-07-26 2023-08-30 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-07-26 2023-08-30 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-07-26 2023-08-30 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-07-26 2023-08-30 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2023-07-26 2023-08-30 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2023-07-26 2023-08-30 N
Perform COVID19 testing on residents and staff. Health 2022-09-26 2022-10-13 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-07-23 2021-09-03 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2021-07-23 2021-09-03 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-07-23 2021-09-03 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 2021-07-23 2021-09-03 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-07-23 2021-09-03 N
Provide enough food/fluids to maintain a resident's health. Health 2021-07-23 2021-09-03 N
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Health 2021-07-23 2021-09-03 N
Post nurse staffing information every day. Health 2021-07-23 2021-09-03 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-07-23 2021-09-03 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 2021-07-23 2021-09-03 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2021-07-23 2021-09-03 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2021-07-23 2021-09-03 N
Provide and implement an infection prevention and control program. Health 2021-07-23 2021-09-03 N
Implement a program that monitors antibiotic use. Health 2021-07-23 2021-09-03 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2021-07-23 2021-09-03 N

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