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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?
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-12-16 2021-12-28 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
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2020-01-28 2020-03-10 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2020-01-28 2020-03-10 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2020-01-28 2020-03-10 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2020-01-28 2020-03-10 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2020-01-28 2020-03-10 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2020-01-28 2020-03-10 N
Post nurse staffing information every day. Health 2020-01-28 2020-03-10 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2020-01-28 2020-03-10 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2020-01-28 2020-03-10 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 2020-01-28 2020-03-10 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2020-01-28 2020-03-10 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 2020-01-28 2020-03-10 N
Ensure medication error rates are not 5 percent or greater. Health 2020-01-28 2020-03-10 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 2020-01-28 2020-03-10 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2020-01-28 2020-03-10 N
Provide and implement an infection prevention and control program. Health 2020-01-28 2020-03-10 N
Implement a program that monitors antibiotic use. Health 2020-01-28 2020-03-10 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2020-01-28 2020-03-10 N
Establish emergency prep training and testing. Fire Safety 2020-01-24 2020-02-24 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2020-01-24 2020-02-24 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2020-01-24 2020-02-24 N
Ensure proper usage of power strips and extension cords. Fire Safety 2020-01-24 2020-02-23 N
Have proper medical gas storage and administration areas. Fire Safety 2020-01-24 2020-02-23 N
Have proper power supply for life support equipment. Fire Safety 2020-01-24 2020-02-07 N

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