A list of the most recent deficiencies for Jacob Health Care Center, LLC. 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 appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-31 | 2024-02-21 | Y |
| 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 | 2024-01-31 | 2024-02-21 | Y |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-10-13 | 2023-10-13 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-07-12 | 2023-08-07 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-07-12 | 2023-08-07 | Y |
| 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 | 2022-09-07 | 2022-10-05 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-02-28 | 2022-03-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-28 | 2022-03-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-04 | 2021-11-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-31 | 2021-09-30 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2021-08-26 | 2021-09-25 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-11 | 2021-07-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-06-11 | 2021-07-10 | 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 | 2021-06-11 | 2021-07-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-11 | 2021-07-10 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-06-11 | 2021-07-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-11 | 2021-07-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-06-11 | 2021-07-10 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-06-14 | 2021-07-07 | N |
| Use approved construction type or materials. | Fire Safety | 2021-06-14 | 2021-07-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-14 | 2021-07-07 | 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 | 2021-06-14 | 2021-07-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-14 | 2021-07-07 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-10-23 | 2019-11-19 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-10-23 | 2019-11-19 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-10-23 | 2019-11-19 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-10-23 | 2019-11-19 | N |
| Use approved construction type or materials. | Fire Safety | 2019-10-23 | 2019-11-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-10-23 | 2019-11-19 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-10-23 | 2019-11-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-23 | 2019-11-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-10-23 | 2019-11-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-23 | 2019-11-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-10-23 | 2019-11-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-23 | 2019-11-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-23 | 2019-11-19 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-09-19 | 2019-10-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-19 | 2019-10-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-19 | 2019-10-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-19 | 2019-10-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-19 | 2019-10-18 | N |
| Use approved construction type or materials. | Fire Safety | 2018-11-16 | 2018-12-05 | 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 | 2018-11-16 | 2018-12-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-16 | 2018-12-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-16 | 2018-12-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-09-17 | 2018-10-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-17 | 2018-10-16 | 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 | 2018-09-17 | 2018-10-16 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-09-17 | 2018-10-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-17 | 2018-10-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-09-17 | 2018-10-16 | N |
| Provide appropriate foot care. | Health | 2018-09-17 | 2018-10-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-17 | 2018-10-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-09-17 | 2018-10-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-09-17 | 2018-10-16 | 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 | 2018-09-17 | 2018-10-16 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-09-17 | 2018-10-16 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-09-17 | 2018-10-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-17 | 2018-10-16 | 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 | 2018-09-17 | 2018-10-16 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-09-17 | 2018-10-16 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-09-17 | 2018-10-16 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-09-17 | 2018-10-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-17 | 2018-10-16 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-09-17 | 2018-10-16 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-09-17 | 2018-10-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-17 | 2018-10-16 | N |
