A list of the most recent deficiencies for Horizon Health and Subacute 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? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-08 | 2023-12-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-17 | 2023-03-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-08 | 2023-03-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-23 | 2023-02-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-19 | 2022-02-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-19 | 2021-09-13 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2021-03-17 | 2021-03-24 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-06-21 | 2019-11-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-21 | 2019-10-29 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-06-21 | 2019-10-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-21 | 2019-10-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-21 | 2019-10-29 | 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 | 2019-06-21 | 2019-10-29 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-06-21 | 2019-10-29 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-06-21 | 2019-10-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-21 | 2019-10-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-21 | 2019-10-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-21 | 2019-10-29 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-08-01 | 2019-08-19 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-08-01 | 2019-08-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-01 | 2019-08-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-01 | 2019-08-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-01 | 2019-08-19 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-08-01 | 2019-08-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-01 | 2019-08-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-29 | 2018-06-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-03-29 | 2018-06-08 | 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 | 2018-03-29 | 2018-06-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-03-29 | 2018-06-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-29 | 2018-06-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-29 | 2018-06-08 | N |
| Develop a communication plan. | Fire Safety | 2018-04-12 | 2018-05-01 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-04-12 | 2018-05-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-04-12 | 2018-05-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-04-12 | 2018-05-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-04-12 | 2018-05-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-12 | 2018-05-01 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2018-04-12 | 2018-05-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-12 | 2018-05-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-04-12 | 2018-05-01 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2017-03-08 | 2017-04-27 | N |
| Provide proof that residents' personal money that is deposited with the nursing home is secure. | Health | 2017-03-08 | 2017-04-27 | N |
| Provide housekeeping and maintenance services. | Health | 2017-03-08 | 2017-04-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-03-08 | 2017-04-27 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-03-08 | 2017-04-27 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-03-08 | 2017-04-27 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-08 | 2017-04-27 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2017-03-08 | 2017-04-27 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-03-08 | 2017-04-27 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-03-08 | 2017-04-27 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-08 | 2017-04-27 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-08 | 2017-04-27 | N |
| Keep all essential equipment working safely. | Health | 2017-03-08 | 2017-04-27 | N |
| Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. | Health | 2017-03-08 | 2017-04-27 | N |
| Keep signed and dated reports of x-rays and other diagnostic services. | Health | 2017-03-08 | 2017-04-27 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-03-08 | 2017-04-27 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-03-08 | 2017-04-27 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-03-08 | 2017-04-27 | N |
| Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. | Health | 2017-03-08 | 2017-04-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-03-01 | 2017-04-21 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-03-01 | 2017-04-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-03-01 | 2017-04-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-03-01 | 2017-04-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-03-01 | 2017-04-21 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-03-01 | 2017-04-21 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-03-01 | 2017-04-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-03-01 | 2017-04-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-03-01 | 2017-04-21 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2017-03-01 | 2017-04-21 | N |
