A list of the most recent deficiencies for Havasu Regional Medical Center. 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 simulated fire drills held at unexpected times. | Fire Safety | 2022-11-03 | 2022-12-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-03 | 2022-12-30 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-11-03 | 2022-12-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-03 | 2022-12-18 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-11-03 | 2022-12-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-03 | 2022-12-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-03 | 2022-12-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-03 | 2022-12-18 | N |
| Post nurse staffing information every day. | Health | 2022-11-03 | 2022-12-18 | 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 | 2022-11-03 | 2022-12-18 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-11-03 | 2022-12-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-03 | 2022-12-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-03 | 2022-12-18 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-11-03 | 2022-12-18 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-07-14 | 2022-08-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-07-14 | 2022-08-13 | 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 | 2021-08-13 | 2021-10-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-13 | 2021-10-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-13 | 2021-10-18 | N |
| Post nurse staffing information every day. | Health | 2021-08-13 | 2021-10-18 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2021-08-13 | 2021-10-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-13 | 2021-10-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-13 | 2021-10-18 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-08-13 | 2021-09-15 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-08-13 | 2021-09-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-08-13 | 2021-09-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-08-13 | 2021-09-15 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2021-08-13 | 2021-09-15 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-05-15 | 2019-07-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-05-15 | 2019-07-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-15 | 2019-05-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-05-15 | 2019-05-15 | N |
