A list of the most recent deficiencies for Vernon Healthcare 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-14 | 2024-02-28 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-15 | 2024-01-12 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-12-15 | 2024-01-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-15 | 2024-01-12 | 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 | 2023-12-15 | 2024-01-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-15 | 2024-01-12 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-12-15 | 2024-01-12 | 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 | 2023-12-15 | 2024-01-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-15 | 2024-01-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-04 | 2024-01-11 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2023-12-16 | 2024-01-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-12-16 | 2024-01-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-12-16 | 2024-01-10 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-12-16 | 2024-01-10 | 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 | 2023-12-16 | 2024-01-10 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-12-16 | 2024-01-10 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-12-16 | 2024-01-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-12-16 | 2024-01-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-16 | 2024-01-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-16 | 2024-01-10 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2023-12-16 | 2024-01-10 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-09-25 | 2023-09-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-01 | 2023-08-31 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-05-11 | 2023-06-06 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-11 | 2023-06-06 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-31 | 2023-04-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-07 | 2022-10-31 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-10-07 | 2022-10-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-29 | 2022-08-10 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-28 | 2022-08-10 | 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 | 2022-06-28 | 2022-08-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-06-28 | 2022-08-10 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-06-28 | 2022-08-10 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-05-05 | 2022-08-10 | 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 | 2022-05-05 | 2022-08-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-05 | 2022-08-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-28 | 2022-08-03 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-10 | 2022-07-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-15 | 2022-07-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-17 | 2022-07-13 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-05-16 | 2022-07-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-16 | 2022-07-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-22 | 2022-07-01 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-03-22 | 2022-06-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-07 | 2022-05-19 | Y |
| Dispose of garbage and refuse properly. | Health | 2022-04-07 | 2022-05-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-07 | 2022-05-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-02 | 2022-02-17 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-02-02 | 2022-02-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-02 | 2022-02-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-01 | 2021-12-30 | Y |
| Assess the resident when there is a significant change in condition | Health | 2021-12-16 | 2021-12-20 | Y |
| 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 | 2021-10-05 | 2021-10-14 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-05-26 | 2021-06-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-26 | 2021-06-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-24 | 2021-06-15 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2021-05-24 | 2021-06-15 | N |
| 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 | 2021-05-24 | 2021-06-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-24 | 2021-06-15 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-05-24 | 2021-06-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-24 | 2021-06-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-24 | 2021-06-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-24 | 2021-06-15 | 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 | 2021-05-24 | 2021-06-15 | N |
| 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 | 2021-05-24 | 2021-06-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-05-24 | 2021-06-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-24 | 2021-06-15 | 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 | 2021-05-24 | 2021-06-15 | 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 | 2021-05-24 | 2021-06-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-24 | 2021-06-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-24 | 2021-06-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-24 | 2021-06-15 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-05-24 | 2021-06-15 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-05-24 | 2021-06-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-16 | 2021-05-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-15 | 2021-04-23 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2019-09-14 | 2019-10-11 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-09-14 | 2019-10-11 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-09-14 | 2019-10-11 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-09-14 | 2019-10-11 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-09-14 | 2019-10-11 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-09-14 | 2019-10-11 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-09-14 | 2019-10-11 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-09-14 | 2019-10-11 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-09-14 | 2019-10-11 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2019-09-14 | 2019-10-11 | N |
| 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 | 2019-09-14 | 2019-10-11 | 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 | 2019-09-14 | 2019-10-11 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-09-14 | 2019-10-11 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-09-14 | 2019-10-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-09-14 | 2019-10-11 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-09-14 | 2019-10-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-14 | 2019-10-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-14 | 2019-10-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-14 | 2019-10-11 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-09-14 | 2019-10-11 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-09-14 | 2019-10-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-14 | 2019-10-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-09-14 | 2019-10-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-14 | 2019-10-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-14 | 2019-10-11 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2019-09-14 | 2019-10-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-14 | 2019-10-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-15 | 2019-10-10 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-09-15 | 2019-10-10 | 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 | 2019-09-15 | 2019-10-10 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-09-15 | 2019-10-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-09-15 | 2019-10-10 | 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 | 2019-09-15 | 2019-10-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-15 | 2019-10-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-09-15 | 2019-10-10 | 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 | 2019-09-15 | 2019-10-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-09-15 | 2019-10-10 | 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 | 2019-09-15 | 2019-10-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-15 | 2019-10-10 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2019-09-15 | 2019-10-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-15 | 2019-10-10 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-09-15 | 2019-10-10 | N |
