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Deficiency Records for Jackie Withrow Hospital
A list of the most recent deficiencies for Jackie Withrow Hospital. 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 Jackie Withrow Hospital. 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 | 2024-08-16 | 2024-09-30 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-08-16 | 2024-09-30 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-08-23 | 2024-09-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-08-23 | 2024-09-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-23 | 2024-09-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-08-23 | 2024-09-19 | 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 | 2024-08-16 | 2024-09-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-16 | 2024-09-07 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-08-16 | 2024-09-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-16 | 2024-09-07 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-08-16 | 2024-09-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-16 | 2024-09-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-16 | 2024-09-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-16 | 2024-09-07 | N |
| Respond appropriately to all alleged violations. | Health | 2024-08-16 | 2024-08-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-16 | 2024-04-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-29 | 2023-09-07 | Y |
| 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 | 2023-08-29 | 2023-09-07 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2022-09-21 | 2022-11-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-21 | 2022-11-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-21 | 2022-11-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-21 | 2022-11-01 | 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 | 2022-09-21 | 2022-11-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-21 | 2022-11-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-21 | 2022-11-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-21 | 2022-11-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-09-21 | 2022-11-01 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-09-21 | 2022-11-01 | 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 | 2022-11-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-21 | 2022-11-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-21 | 2022-11-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-09-21 | 2022-11-01 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-09-21 | 2022-11-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-21 | 2022-11-01 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-10-02 | 2019-11-20 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-10-02 | 2019-11-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-02 | 2019-11-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-02 | 2019-11-20 | 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 | 2019-10-02 | 2019-11-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-02 | 2019-11-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-10-02 | 2019-11-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-02 | 2019-10-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-02 | 2019-10-15 | N |
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