Deficiency Records for Handmaker Home For The Aging
Updated as of February 01, 2021
This is not the most recent data for Handmaker Home For The Aging. For the most recent information, click here.
A list of the most recent deficiencies for Handmaker Home For The Aging. 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? |
|---|---|---|---|---|
| Assess the resident when there is a significant change in condition | Health | 2020-10-09 | 2020-12-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-10-09 | 2020-12-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-10-09 | 2020-12-18 | 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 | 2020-10-09 | 2020-12-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-10-09 | 2020-12-18 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2020-10-09 | 2020-12-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-09 | 2020-12-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-10-09 | 2020-12-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-10-09 | 2020-12-18 | 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 | 2020-10-09 | 2020-12-18 | 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 | 2020-10-09 | 2020-12-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-09 | 2020-12-18 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-10-09 | 2020-12-18 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2020-10-09 | 2020-12-18 | N |
| Keep all essential equipment working safely. | Health | 2020-10-09 | 2020-12-18 | 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 | 2020-10-09 | 2020-12-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-10-09 | 2020-12-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-10-09 | 2020-12-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-07-27 | 2020-09-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-05-20 | 2020-06-12 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-01-08 | 2019-02-20 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-01-08 | 2019-02-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-01-08 | 2019-02-20 | 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 | 2019-01-08 | 2019-02-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-08 | 2019-02-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-08 | 2019-02-20 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-17 | 2019-02-15 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-01-17 | 2019-02-15 | 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 | 2018-06-28 | 2018-08-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-28 | 2018-08-14 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-10-19 | 2017-12-01 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-10-19 | 2017-12-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-10-19 | 2017-12-01 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-10-19 | 2017-12-01 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2017-10-19 | 2017-12-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-10-17 | 2017-11-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-10-17 | 2017-11-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-12-28 | Not Fixed | N |
