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Deficiency Records for Roane General Hospital
A list of the most recent deficiencies for Roane General Hospital. 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 Roane General Hospital. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-06 | 2024-01-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-06 | 2024-01-31 | N |
| 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 | 2023-12-06 | 2024-01-31 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-12-06 | 2024-01-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-06 | 2024-01-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-06 | 2024-01-31 | 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 | 2023-12-06 | 2024-01-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-06 | 2024-01-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-06 | 2024-01-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-06 | 2024-01-31 | N |
| Keep all essential equipment working safely. | Health | 2023-12-06 | 2024-01-31 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-12-04 | 2024-01-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-04 | 2024-01-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-04 | 2024-01-02 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-05-18 | 2022-06-24 | 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 | 2022-05-18 | 2022-06-24 | 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 | 2022-05-18 | 2022-06-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-18 | 2022-06-24 | 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 | 2022-05-18 | 2022-06-24 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-05-18 | 2022-06-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-18 | 2022-06-24 | 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 | 2022-05-18 | 2022-06-24 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-05-18 | 2022-06-24 | 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 | 2022-05-18 | 2022-06-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-18 | 2022-06-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-18 | 2022-06-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-18 | 2022-06-24 | 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 | 2021-02-11 | 2021-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-11 | 2021-03-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-02-11 | 2021-03-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-02-10 | 2021-02-15 | N |
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