A list of the most recent deficiencies for Haven 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-14 | 2023-09-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-02 | 2023-09-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-22 | 2023-06-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-24 | 2023-05-31 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-05 | 2023-04-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-05 | 2023-04-11 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-30 | 2023-04-11 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2022-11-17 | 2022-12-14 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-11-17 | 2022-12-14 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-10-31 | 2022-11-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-20 | 2022-11-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-10 | 2022-04-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-23 | 2022-04-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-02 | 2022-02-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-06 | 2022-02-07 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-11-22 | 2021-12-15 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-11-22 | 2021-12-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-11-22 | 2021-12-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-11-22 | 2021-12-15 | N |
| Meet other general requirements. | Fire Safety | 2021-11-22 | 2021-12-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-22 | 2021-12-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-22 | 2021-12-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-11-22 | 2021-12-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-22 | 2021-12-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-04 | 2021-11-29 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-11-04 | 2021-11-29 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-11-04 | 2021-11-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-11-04 | 2021-11-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-04 | 2021-11-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-04 | 2021-11-29 | 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 | 2021-11-29 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-11-04 | 2021-11-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-04 | 2021-11-29 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-04 | 2021-11-29 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-10-21 | 2021-11-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-06 | 2021-10-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-01 | 2021-10-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-12 | 2021-09-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-13 | 2021-09-21 | 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 | 2021-08-30 | 2021-09-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-11 | 2021-08-23 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-04-07 | 2021-05-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-03-25 | 2021-04-12 | Y |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-03-29 | 2021-04-09 | Y |
| Construct fire resistant interior walls. | Fire Safety | 2021-03-29 | 2021-04-09 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2019-07-10 | 2019-08-07 | N |
| Use approved construction type or materials. | Fire Safety | 2019-07-10 | 2019-08-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-10 | 2019-08-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-10 | 2019-08-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-10 | 2019-08-07 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2019-06-28 | 2019-07-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-28 | 2019-07-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-28 | 2019-07-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-06-28 | 2019-07-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-06-28 | 2019-07-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-28 | 2019-07-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-28 | 2019-07-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-09-19 | 2018-10-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-19 | 2018-10-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-06-08 | 2018-08-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-06-08 | 2018-08-20 | 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 | 2018-06-08 | 2018-08-20 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-06-08 | 2018-08-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-08 | 2018-08-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-06-08 | 2018-08-20 | 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 | 2018-06-08 | 2018-08-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-08 | 2018-08-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-06-08 | 2018-08-20 | N |
