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Deficiency Records for Tygart Center at Fairmont Campus
A list of the most recent deficiencies for Tygart Center at Fairmont Campus. 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 Tygart Center at Fairmont Campus. 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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-03-15 | 2023-04-13 | 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 | 2023-03-15 | 2023-04-13 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-15 | 2023-04-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-15 | 2023-04-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-15 | 2023-04-13 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-03-15 | 2023-04-13 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-03-15 | 2023-04-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-15 | 2023-04-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-15 | 2023-04-13 | N |
| Provide activities to meet all resident's needs. | Health | 2023-03-15 | 2023-04-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-15 | 2023-04-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-15 | 2023-04-13 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-15 | 2023-04-13 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-03-15 | 2023-04-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-15 | 2023-04-13 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-03-15 | 2023-04-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-15 | 2023-04-13 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-03-15 | 2023-04-13 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-15 | 2023-04-13 | N |
| Have policies on smoking. | Health | 2023-03-15 | 2023-04-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-14 | 2023-04-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-14 | 2023-04-04 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-02-09 | 2022-03-22 | 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 | 2022-02-09 | 2022-03-22 | 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 | 2022-02-09 | 2022-03-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-02-09 | 2022-03-22 | 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 | 2022-02-09 | 2022-03-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-02-09 | 2022-03-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-09 | 2022-03-22 | 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 | 2022-02-09 | 2022-03-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-09 | 2022-03-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-09 | 2022-03-22 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-02-09 | 2022-03-22 | 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 | 2022-02-09 | 2022-03-22 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-02-09 | 2022-03-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-09 | 2022-03-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-02-09 | 2022-03-22 | 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 | 2022-02-09 | 2022-03-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-09 | 2022-03-22 | Y |
| Construct fire resistant interior walls. | Fire Safety | 2022-02-08 | 2022-02-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-02-08 | 2022-02-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-08 | 2022-02-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-08-01 | 2019-09-11 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-08-01 | 2019-09-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-01 | 2019-09-11 | 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 | 2019-08-01 | 2019-09-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-01 | 2019-09-11 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-08-01 | 2019-09-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-01 | 2019-09-11 | 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 | 2019-08-01 | 2019-09-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-01 | 2019-09-11 | 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 | 2019-08-01 | 2019-09-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-01 | 2019-09-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-08-01 | 2019-09-11 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-07-30 | 2019-09-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-07-30 | 2019-09-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-30 | 2019-09-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-30 | 2019-09-04 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-07-30 | 2019-09-04 | N |
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