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Deficiency Records for Randolph Health Services
A list of the most recent deficiencies for Randolph Health Services. 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 Randolph Health Services. 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 | 2024-12-18 | 2025-01-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-12-18 | 2025-01-20 | N |
| Respond appropriately to all alleged violations. | Health | 2024-12-18 | 2025-01-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-12-18 | 2025-01-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-12-18 | 2025-01-20 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-12-18 | 2025-01-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-18 | 2025-01-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-18 | 2025-01-20 | 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 | 2024-12-13 | 2025-01-20 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-12-13 | 2025-01-20 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-12-13 | 2025-01-20 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-12-13 | 2025-01-20 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-12-13 | 2025-01-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-18 | 2024-12-19 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-11-02 | 2023-11-22 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-11-02 | 2023-11-22 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-11-02 | 2023-11-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-11-02 | 2023-11-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-02 | 2023-11-22 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-11-02 | 2023-11-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-11-02 | 2023-11-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-02 | 2023-11-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-08 | 2023-03-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-22 | 2022-10-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-21 | 2022-10-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-21 | 2022-09-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-09-21 | 2022-09-23 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-09-21 | 2022-09-23 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-12-13 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-12-13 | Not Fixed | N |
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