A list of the most recent deficiencies for Harvard Creek Post Acute. 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? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2023-12-29 | 2024-01-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-29 | 2024-01-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-22 | 2023-12-29 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-22 | 2023-12-29 | 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 | 2023-12-22 | 2023-12-29 | 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 | 2023-12-22 | 2023-12-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-22 | 2023-12-29 | 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 | 2023-12-22 | 2023-12-29 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-12-22 | 2023-12-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-22 | 2023-12-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-22 | 2023-12-29 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-12-22 | 2023-12-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-22 | 2023-12-29 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-12-22 | 2023-12-29 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-12-22 | 2023-12-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-22 | 2023-12-29 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-12-22 | 2023-12-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-01 | 2023-02-10 | Y |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2021-11-04 | 2021-12-16 | 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 | 2021-11-04 | 2021-12-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-11-04 | 2021-12-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-04 | 2021-12-16 | 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 | 2021-11-04 | 2021-12-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-04 | 2021-12-14 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-11-04 | 2021-12-14 | N |
| Provide appropriate foot care. | Health | 2021-11-04 | 2021-12-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-04 | 2021-12-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-04 | 2021-12-14 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-11-04 | 2021-12-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-20 | 2019-10-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-20 | 2019-10-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-09 | 2019-10-03 | 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 | 2019-09-09 | 2019-10-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-09 | 2019-10-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-09-09 | 2019-10-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-09 | 2019-10-03 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-09-09 | 2019-10-03 | 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 | 2019-09-09 | 2019-10-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-09-09 | 2019-10-03 | 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 | 2019-09-09 | 2019-10-03 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-09-09 | 2019-10-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-09 | 2019-10-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-09 | 2019-10-03 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-09-09 | 2019-10-03 | N |
