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Deficiency Records for Pocahontas Center

A list of the most recent deficiencies for Pocahontas 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 Pocahontas 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?
Conduct risk assessment and an All-Hazards approach. Fire Safety 2024-07-29 2024-09-18 N
Conduct testing and exercise requirements. Fire Safety 2024-07-29 2024-09-18 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2024-07-29 2024-09-18 N
Provide properly protected cooking facilities. Fire Safety 2024-07-29 2024-09-18 N
Construct fire resistant interior walls. Fire Safety 2024-07-29 2024-09-18 N
Have proper medical gas storage and administration areas. Fire Safety 2024-07-29 2024-09-18 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-08-01 2024-09-05 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 2024-08-01 2024-09-05 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 2024-08-01 2024-09-05 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-08-01 2024-09-05 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-08-01 2024-09-05 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-08-01 2024-09-05 N
Respond appropriately to all alleged violations. Health 2024-08-01 2024-09-05 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-08-01 2024-09-05 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 2024-08-01 2024-09-05 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2024-08-01 2024-09-05 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-08-01 2024-09-05 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 2024-08-01 2024-09-05 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-08-01 2024-09-05 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-08-01 2024-09-05 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 2024-08-01 2024-09-05 N
Provide care or services that was trauma informed and/or culturally competent. Health 2024-08-01 2024-09-05 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 2024-08-01 2024-09-05 N
Observe each nurse aide's job performance and give regular training. Health 2024-08-01 2024-09-05 N
Post nurse staffing information every day. Health 2024-08-01 2024-09-05 N
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2024-08-01 2024-09-05 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-08-01 2024-09-05 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 2024-08-01 2024-09-05 N
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 2024-08-01 2024-09-05 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-08-01 2024-09-05 N
Provide and implement an infection prevention and control program. Health 2024-08-01 2024-09-05 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-30 2023-10-12 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-08-30 2023-10-12 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-08-30 2023-10-12 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-02-21 2023-03-28 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-02-21 2023-03-28 N
Install an approved automatic sprinkler system. Fire Safety 2023-02-21 2023-03-28 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-02-21 2023-03-28 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-02-21 2023-03-28 N
Have power receptacles that are properly grounded. Fire Safety 2023-02-21 2023-03-28 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-02-22 2023-03-17 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-02-22 2023-03-17 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 2023-02-22 2023-03-17 N
Post nurse staffing information every day. Health 2023-02-22 2023-03-17 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 2023-02-22 2023-03-17 N
Provide and implement an infection prevention and control program. Health 2023-02-22 2023-03-17 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-09-07 2022-09-29 Y
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 2021-12-01 2021-12-31 N
Ensure each resident receives an accurate assessment. Health 2021-12-01 2021-12-31 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-12-01 2021-12-31 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-12-01 2021-12-31 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-11-30 2021-12-31 N

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