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Deficiency Records for Hollymead
A list of the most recent deficiencies for Hollymead. 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 Hollymead. 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? |
|---|---|---|---|---|
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2024-03-21 | 2024-05-02 | N |
| Have properly spaced exits within rooms. | Fire Safety | 2024-03-21 | 2024-05-02 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-03-21 | 2024-05-02 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-03-21 | 2024-05-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-21 | 2024-05-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-30 | 2024-05-01 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-03-21 | 2024-04-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-21 | 2024-03-22 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-03-21 | 2024-03-22 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-03-21 | 2024-03-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-21 | 2024-03-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-21 | 2024-03-22 | N |
| 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 | 2024-03-21 | 2024-03-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-27 | 2024-02-28 | Y |
| 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 | 2023-03-16 | 2023-03-22 | Y |
| Keep all essential equipment working safely. | Health | 2023-03-16 | 2023-03-17 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2023-02-08 | 2023-03-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-09 | 2023-02-10 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-02-09 | 2023-02-10 | Y |
| 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 | 2023-02-09 | 2023-02-10 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-09 | 2023-02-10 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-09 | 2023-02-10 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-08 | 2023-02-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-08 | 2023-02-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-08 | 2022-04-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-08 | 2022-04-09 | Y |
| 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 | 2022-04-08 | 2022-04-09 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-04-08 | 2022-04-09 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2021-11-05 | 2022-01-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-05 | 2022-01-12 | 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 | 2021-11-05 | 2021-11-06 | N |
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