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Deficiency Records for Plymouth Health Services
A list of the most recent deficiencies for Plymouth 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 Plymouth 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? |
|---|---|---|---|---|
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-08-26 | 2024-09-23 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-08-26 | 2024-09-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-26 | 2024-09-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-31 | 2024-08-31 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2024-06-26 | 2024-07-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-06-26 | 2024-07-29 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-06-26 | 2024-07-29 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2024-06-26 | 2024-07-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-06-26 | 2024-07-29 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-06-26 | 2024-07-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-26 | 2024-07-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-26 | 2024-07-29 | 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 | 2024-06-25 | 2024-07-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-06-25 | 2024-07-29 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-06-25 | 2024-07-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-10 | 2024-07-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-19 | 2024-04-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-19 | 2024-04-19 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-03-19 | 2024-04-19 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-03-19 | 2024-04-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-19 | 2024-04-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-03-19 | 2024-04-19 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-19 | 2024-04-19 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-05-10 | 2023-06-02 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-05-10 | 2023-06-02 | N |
| Provide appropriate foot care. | Health | 2023-05-10 | 2023-06-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-10 | 2023-06-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-10 | 2023-06-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-10 | 2023-06-02 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-09 | 2023-06-02 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-05-09 | 2023-06-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-09 | 2023-06-02 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-03-29 | 2023-04-21 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2022-05-10 | 2022-06-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-10 | 2022-06-11 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2022-05-11 | 2022-06-03 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-05-11 | 2022-06-03 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-05-11 | 2022-06-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-05-11 | 2022-06-03 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-05-11 | 2022-06-03 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-05-11 | 2022-06-03 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-05-11 | 2022-06-03 | 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 | 2022-05-11 | 2022-06-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-11 | 2022-06-03 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-05-11 | 2022-06-03 | 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 | 2022-05-11 | 2022-06-03 | 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 | 2022-05-11 | 2022-06-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-11 | 2022-06-03 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-05-11 | 2022-06-03 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-05-10 | 2022-06-03 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-05-10 | 2022-06-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-10 | 2022-06-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-05-10 | 2022-06-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-10 | 2022-06-02 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-05-10 | 2022-06-02 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-05-10 | 2022-05-31 | N |
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