Deficiency Records for Henry County Health and Rehabilitation Facility
Updated as of March 01, 2024
A list of the most recent deficiencies for Henry County Health and Rehabilitation Facility. 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? |
|---|---|---|---|---|
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-02-09 | 2022-03-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-09 | 2022-03-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-02-09 | 2022-03-16 | N |
| 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 | 2022-02-04 | 2022-03-11 | 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 | 2022-02-04 | 2022-03-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-02-04 | 2022-03-11 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-05-24 | 2019-06-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-05-16 | 2019-06-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-16 | 2019-06-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-16 | 2019-06-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-06-18 | 2018-07-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-06-18 | 2018-07-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-06-18 | 2018-07-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-06-18 | 2018-07-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-06-14 | 2018-07-19 | N |
| Post nurse staffing information every day. | Health | 2018-06-14 | 2018-07-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-14 | 2018-07-19 | N |
| Dispose of garbage and refuse properly. | Health | 2018-06-14 | 2018-07-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-14 | 2018-07-19 | N |
