A list of the most recent deficiencies for Hendrix Health and Rehabilitation. 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? |
|---|---|---|---|---|
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-09-13 | 2023-10-18 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-09-13 | 2023-10-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-13 | 2023-10-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-09-13 | 2023-10-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-13 | 2023-10-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-13 | 2023-10-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-07 | 2023-10-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-07 | 2023-10-12 | N |
| Dispose of garbage and refuse properly. | Health | 2023-09-07 | 2023-10-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-29 | 2019-11-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-29 | 2019-11-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-07 | 2019-11-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-11-07 | 2019-11-21 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-09-18 | 2018-10-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-09-18 | 2018-10-23 | 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 | 2018-09-18 | 2018-10-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-09-18 | 2018-10-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-09-18 | 2018-10-23 | 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 | 2018-09-12 | 2018-10-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-12 | 2018-10-17 | N |
