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Deficiency Records for Focused Care of Gilmer

A list of the most recent deficiencies for Focused Care of Gilmer. 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 Focused Care of Gilmer. 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 2024-07-10 2024-07-17 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 2023-12-05 2023-12-06 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-12-05 2023-12-06 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-12-05 2023-12-06 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-12-05 2023-12-06 N
Ensure each resident receives an accurate assessment. Health 2023-11-15 2023-11-16 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-11-15 2023-11-16 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-11-15 2023-11-16 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2023-11-15 2023-11-16 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-11-15 2023-11-16 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-11-15 2023-11-16 N
Ensure medication error rates are not 5 percent or greater. Health 2023-11-15 2023-11-16 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-11-15 2023-11-16 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2023-11-15 2023-11-16 N
Provide and implement an infection prevention and control program. Health 2023-11-15 2023-11-16 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-11-07 2023-11-08 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-11-07 2023-11-08 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-07-31 2023-08-01 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-07-31 2023-08-01 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-04-06 2023-07-11 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-04-06 2023-05-19 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-04-06 2023-04-07 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-11-09 2022-11-11 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2022-11-09 2022-11-11 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-11-09 2022-11-11 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-11-09 2022-11-11 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2022-09-28 2022-09-30 Y
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 2022-09-28 2022-09-30 Y
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2022-09-15 2022-09-19 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-09-15 2022-09-19 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-09-15 2022-09-19 N
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 2022-09-15 2022-09-19 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-09-15 2022-09-19 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-09-15 2022-09-19 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-09-15 2022-09-19 N
Ensure medication error rates are not 5 percent or greater. Health 2022-09-15 2022-09-19 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2022-09-15 2022-09-19 N
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2022-09-15 2022-09-19 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-09-15 2022-09-19 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2022-09-15 2022-09-19 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 2022-09-15 2022-09-19 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-09-15 2022-09-19 Y
Establish staff and initial training requirements. Fire Safety 2022-09-13 2022-09-19 N
Conduct testing and exercise requirements. Fire Safety 2022-09-13 2022-09-19 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 2022-09-13 2022-09-19 N
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Fire Safety 2022-09-13 2022-09-19 N
Have an alternate power supply for its alarm system. Fire Safety 2022-09-13 2022-09-19 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-09-13 2022-09-19 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-15 2022-09-15 Y
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2021-10-12 2021-11-04 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-07-23 2021-07-24 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-07-23 2021-07-24 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-07-23 2021-07-24 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-07-23 2021-07-24 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 2021-07-23 2021-07-24 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-07-23 2021-07-24 N
Keep all essential equipment working safely. Health 2021-07-23 2021-07-24 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2021-07-22 2021-07-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-07-22 2021-07-24 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-07-22 2021-07-24 N

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