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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 |
| 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 | 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 |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-08-01 | 2024-09-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 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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