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Deficiency Records for Minnie Hamilton Health Care

A list of the most recent deficiencies for Minnie Hamilton Health Care. 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 Minnie Hamilton Health Care. 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?
Reasonably accommodate the needs and preferences of each resident. Health 2024-06-27 2024-08-13 N
Assess the resident when there is a significant change in condition Health 2024-06-27 2024-08-13 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2024-06-27 2024-08-13 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-06-27 2024-08-13 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 2024-06-27 2024-08-13 N
Ensure medication error rates are not 5 percent or greater. Health 2024-06-27 2024-08-13 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 2024-06-27 2024-08-13 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-06-27 2024-08-13 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2024-06-27 2024-08-13 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2024-06-27 2024-08-13 N
Provide and implement an infection prevention and control program. Health 2024-06-27 2024-08-13 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-06-27 2024-08-13 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-06-27 2024-08-13 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-06-27 2024-08-13 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-06-27 2024-08-13 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-06-27 2024-08-13 Y
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2024-06-25 2024-08-06 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 2022-09-21 2022-11-18 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-09-21 2022-11-18 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 2022-09-21 2022-11-18 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2022-09-21 2022-11-18 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-09-21 2022-11-18 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-09-21 2022-11-18 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2022-09-21 2022-11-18 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-09-21 2022-11-18 N
Ensure staff are vaccinated for COVID-19 Health 2022-09-21 2022-11-18 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2022-09-23 2022-11-16 N
Have properly sized and located compartments to protect residents from smoke. Fire Safety 2022-09-23 2022-11-16 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-09-23 2022-11-16 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-09-23 2022-11-16 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-09-23 2022-11-16 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-09-23 2022-11-16 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-09-23 2022-11-16 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2022-09-23 2022-11-16 N
Have proper medical gas storage and administration areas. Fire Safety 2022-09-23 2022-11-16 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-06-02 2021-08-12 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-06-02 2021-07-21 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-06-02 2021-07-16 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-06-02 2021-07-16 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2021-06-02 2021-07-16 N
Ensure each resident receives an accurate assessment. Health 2021-06-02 2021-07-16 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-06-02 2021-07-16 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-06-02 2021-07-16 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-06-02 2021-07-16 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-06-02 2021-07-16 N
Provide and implement an infection prevention and control program. Health 2021-06-02 2021-07-16 N

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