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Deficiency Records for Sistersville Center

A list of the most recent deficiencies for Sistersville Center. 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 Sistersville Center. 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 2023-04-11 2023-05-25 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 2023-04-11 2023-05-25 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-04-11 2023-05-25 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-04-11 2023-05-25 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 2023-04-11 2023-05-25 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2023-04-11 2023-05-25 N
Ensure each resident receives an accurate assessment. Health 2023-04-11 2023-05-25 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-04-11 2023-05-25 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 2023-04-11 2023-05-25 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-04-11 2023-05-25 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-04-11 2023-05-25 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-04-11 2023-05-25 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 2023-04-11 2023-05-25 N
Observe each nurse aide's job performance and give regular training. Health 2023-04-11 2023-05-25 N
Post nurse staffing information every day. Health 2023-04-11 2023-05-25 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-04-11 2023-05-25 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 2023-04-11 2023-05-25 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 2023-04-11 2023-05-25 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-04-11 2023-05-25 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-04-11 2023-05-25 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2023-04-11 2023-05-25 N
Provide and implement an infection prevention and control program. Health 2023-04-11 2023-05-25 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 2023-04-04 2023-05-09 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-04-04 2023-05-09 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-04-04 2023-05-09 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-04-04 2023-05-09 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2023-04-04 2023-05-09 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2022-08-03 2022-09-08 Y
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2022-08-03 2022-09-08 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-05-03 2022-07-01 Y
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2022-05-03 2022-07-01 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-03-22 2022-05-11 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-03-22 2022-05-11 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2022-03-22 2022-05-11 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 2022-03-23 2022-05-10 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 2022-03-23 2022-05-10 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-03-23 2022-05-10 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-03-23 2022-05-10 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-03-23 2022-05-10 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-03-23 2022-05-10 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 2022-03-23 2022-05-10 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 2022-03-23 2022-05-10 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 2022-03-23 2022-05-10 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-03-23 2022-05-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-03-23 2022-05-10 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2022-03-23 2022-05-10 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2022-03-23 2022-05-10 N
Keep all essential equipment working safely. Health 2022-03-23 2022-05-10 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-03-30 2021-04-30 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 2021-03-31 2021-04-07 N
Ensure each resident receives an accurate assessment. Health 2021-03-31 2021-04-07 N
Provide activities to meet all resident's needs. Health 2021-03-31 2021-04-07 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-03-31 2021-04-07 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-03-31 2021-04-07 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 2021-03-31 2021-04-07 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 2021-03-31 2021-04-07 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 2021-03-31 2021-04-07 N

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