A list of the most recent deficiencies for Hiram Shaddox Health and Rehab. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2023-05-11 | 2023-06-10 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-12-01 | 2022-12-29 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-12-01 | 2022-12-29 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-12-01 | 2022-12-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-01 | 2022-12-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-01 | 2022-12-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-01 | 2022-12-29 | 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 | 2022-12-01 | 2022-12-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-12-01 | 2022-12-29 | 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 | 2022-12-01 | 2022-12-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-01 | 2022-12-29 | N |
| Report COVID19 data to residents and families. | Health | 2022-12-01 | 2022-12-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-12-08 | 2022-12-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-08 | 2022-12-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-08 | 2022-12-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-27 | 2022-05-21 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-04-27 | 2022-05-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-27 | 2022-05-21 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-03-15 | 2022-04-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-15 | 2022-04-14 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-03-15 | 2022-04-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-29 | 2022-01-28 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-08-27 | 2021-09-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-27 | 2021-09-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-27 | 2021-09-27 | Y |
| Dispose of garbage and refuse properly. | Health | 2021-07-22 | 2021-08-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-06 | 2021-06-04 | 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 | 2021-05-06 | 2021-06-04 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-06 | 2021-06-04 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-05-06 | 2021-06-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-15 | 2021-06-04 | Y |
