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Deficiency Records for Southern Inyo Hospital D/p Snf
A list of the most recent deficiencies for Southern Inyo Hospital D/p Snf. 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 Southern Inyo Hospital D/p Snf. 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? |
|---|---|---|---|---|
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-07-30 | 2024-09-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-07-30 | 2024-09-10 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-07-30 | 2024-09-10 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-07-30 | 2024-09-10 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-07-30 | 2024-09-10 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-07-30 | 2024-09-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-07-30 | 2024-09-10 | N |
| Use approved construction type or materials. | Fire Safety | 2024-07-30 | 2024-09-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-30 | 2024-09-10 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-07-30 | 2024-09-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-30 | 2024-09-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-30 | 2024-09-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-30 | 2024-09-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-30 | 2024-09-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-07-30 | 2024-09-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-08 | 2024-09-08 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-07-12 | 2024-07-30 | 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 | 2024-07-12 | 2024-07-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-12 | 2024-07-30 | N |
| Keep all essential equipment working safely. | Health | 2024-07-12 | 2024-07-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-19 | 2024-01-31 | Y |
| Use approved construction type or materials. | Fire Safety | 2023-05-30 | 2023-06-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-30 | 2023-06-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-30 | 2023-06-13 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-05-30 | 2023-06-13 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-05-30 | 2023-06-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-30 | 2023-06-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-30 | 2023-06-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-30 | 2023-06-13 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-05-18 | 2023-06-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-18 | 2023-06-08 | N |
| Have policies on smoking. | Health | 2023-05-18 | 2023-06-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-07 | 2022-12-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-26 | 2022-11-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-23 | 2022-09-12 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2019-06-20 | 2019-07-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-20 | 2019-07-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-20 | 2019-07-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-20 | 2019-07-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-20 | 2019-07-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-20 | 2019-07-18 | 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 | 2019-05-09 | 2019-06-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-09 | 2019-06-08 | N |
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