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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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