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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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