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Deficiency Records for Hamilton Health Services
A list of the most recent deficiencies for Hamilton 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 Hamilton 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-08 | 2024-07-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-08 | 2024-07-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-08 | 2024-07-29 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-07-08 | 2024-07-29 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-07-10 | 2024-04-01 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-02-20 | 2024-03-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-12 | 2023-08-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-12 | 2023-08-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-07-12 | 2023-08-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-12 | 2023-08-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-12 | 2023-08-07 | 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 | 2023-07-10 | 2023-08-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-10 | 2023-08-01 | 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 | 2023-07-10 | 2023-07-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-10 | 2023-07-18 | 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 | 2022-06-14 | 2022-09-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-14 | 2022-09-30 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2022-06-15 | 2022-07-15 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-06-15 | 2022-07-15 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-06-15 | 2022-07-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-15 | 2022-07-15 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-06-15 | 2022-07-15 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-06-15 | 2022-07-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-15 | 2022-07-06 | 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 | 2022-06-15 | 2022-07-06 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-06-14 | 2022-07-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-15 | 2022-06-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-31 | 2022-06-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-05-31 | 2022-06-20 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-06-14 | 2022-06-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-14 | 2022-06-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-14 | 2022-06-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-14 | 2022-06-16 | N |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2022-05-09 | 2022-05-31 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-09 | 2022-05-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-30 | 2022-04-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-30 | 2022-04-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-19 | 2022-01-07 | Y |
| Post nurse staffing information every day. | Health | 2021-12-19 | 2022-01-07 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-07 | 2021-07-22 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-06-03 | 2021-06-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-03 | 2021-06-28 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-06-03 | 2021-06-28 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-06-03 | 2021-06-28 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-06-03 | 2021-06-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-03 | 2021-06-28 | 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 | 2021-06-03 | 2021-06-28 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-06-03 | 2021-06-28 | N |
| Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | Health | 2021-06-03 | 2021-06-28 | 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 | 2021-06-03 | 2021-06-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-03 | 2021-06-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-06-03 | 2021-06-28 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-06-07 | 2021-06-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-07 | 2021-06-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-06-07 | 2021-06-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-07 | 2021-06-28 | 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 | 2021-06-07 | 2021-06-25 | N |
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