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Deficiency Records for Herman Health Care Center
A list of the most recent deficiencies for Herman Health Care Center. 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 Herman Health Care Center. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-26 | 2024-07-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-25 | 2024-07-29 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-07-25 | 2024-07-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-24 | 2024-07-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-14 | 2024-07-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-20 | 2024-06-19 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-08 | 2024-05-30 | Y |
| 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 | 2024-02-29 | 2024-05-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-29 | 2024-05-14 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2024-02-29 | 2024-05-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-29 | 2024-04-12 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-02-29 | 2024-04-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-02-29 | 2024-04-12 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-02-29 | 2024-04-12 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-02-29 | 2024-04-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-29 | 2024-04-12 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-02-29 | 2024-04-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-29 | 2024-04-12 | N |
| Provide activities to meet all resident's needs. | Health | 2024-02-29 | 2024-04-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-29 | 2024-04-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-29 | 2024-04-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-29 | 2024-04-12 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-02-29 | 2024-04-12 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-02-29 | 2024-04-12 | N |
| Post nurse staffing information every day. | Health | 2024-02-29 | 2024-04-12 | 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 | 2024-02-29 | 2024-04-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-02-29 | 2024-04-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-29 | 2024-04-12 | 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 | 2024-02-29 | 2024-04-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-29 | 2024-04-12 | N |
| Dispose of garbage and refuse properly. | Health | 2024-02-29 | 2024-04-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-29 | 2024-04-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-02-29 | 2024-04-12 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-02-29 | 2024-04-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-29 | 2024-04-12 | Y |
| 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 | 2024-02-22 | 2024-03-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-22 | 2024-03-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-22 | 2024-03-29 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-02-22 | 2024-03-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-22 | 2024-03-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-22 | 2024-03-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-02-22 | 2024-03-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-02-22 | 2024-03-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-22 | 2024-03-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-22 | 2024-03-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-22 | 2024-03-29 | N |
| Dispose of garbage and refuse properly. | Health | 2022-06-14 | 2022-07-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-10 | 2022-07-07 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-04-11 | 2022-05-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-11 | 2022-05-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-11 | 2022-05-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-11 | 2022-05-02 | 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 | 2022-04-11 | 2022-05-02 | 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 | 2022-04-11 | 2022-05-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-11 | 2022-05-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-11 | 2022-05-02 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-04-11 | 2022-05-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-11 | 2022-05-02 | Y |
| Provide primary/alternate means for communication. | Fire Safety | 2022-04-13 | 2022-04-26 | N |
| Use approved construction type or materials. | Fire Safety | 2022-04-13 | 2022-04-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-13 | 2022-04-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-04-13 | 2022-04-26 | 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 | 2022-04-13 | 2022-04-26 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-04-13 | 2022-04-26 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-04-13 | 2022-04-26 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-04-13 | 2022-04-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-13 | 2022-04-26 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-04-13 | 2022-04-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-13 | 2022-04-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-13 | 2022-04-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-13 | 2022-04-26 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-04-13 | 2022-04-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-13 | 2022-04-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-13 | 2022-04-26 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-06-28 | 2019-07-26 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-06-28 | 2019-07-26 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-06-28 | 2019-07-26 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-06-28 | 2019-07-26 | N |
| Use approved construction type or materials. | Fire Safety | 2019-06-28 | 2019-07-26 | 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 | 2019-06-28 | 2019-07-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-28 | 2019-07-26 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-06-28 | 2019-07-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-28 | 2019-07-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-06-28 | 2019-07-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-28 | 2019-07-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-28 | 2019-07-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-06-28 | 2019-07-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-06-28 | 2019-07-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-06-28 | 2019-07-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-28 | 2019-07-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-28 | 2019-07-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-28 | 2019-07-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-04-12 | 2019-05-06 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-04-12 | 2019-05-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-12 | 2019-05-06 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-04-12 | 2019-05-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-12 | 2019-05-06 | 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 | 2019-04-12 | 2019-05-06 | 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 | 2019-04-12 | 2019-05-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-12 | 2019-05-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-04-12 | 2019-05-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-12 | 2019-05-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-12 | 2019-05-06 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-04-12 | 2019-05-06 | N |
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