CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Carolton Chronic and Convalescent Hospital Inc
View the most recent health deficiencies and inspection results for Carolton Chronic and Convalescent Hospital Inc. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Carolton Chronic and Convalescent Hospital Inc. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2025-04-08 | 2025-06-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-04-08 | 2025-06-29 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-04-08 | 2025-06-29 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2025-04-08 | 2025-06-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-04-08 | 2025-06-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-04-08 | 2025-06-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-04-08 | 2025-06-29 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2025-04-08 | 2025-06-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-04-08 | 2025-06-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-04-08 | 2025-06-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-04-08 | 2025-06-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-04-08 | 2025-06-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-04-08 | 2025-06-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-08 | 2025-06-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-04-08 | 2025-06-29 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-04-08 | 2025-06-29 | 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 | 2025-04-08 | 2025-05-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-04-08 | 2025-05-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-04-08 | 2025-05-18 | N |
| Provide activities to meet all resident's needs. | Health | 2025-04-08 | 2025-05-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-04-08 | 2025-05-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-08 | 2025-05-18 | 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 | 2025-04-08 | 2025-05-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-04-08 | 2025-05-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-04-08 | 2025-05-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-08 | 2025-05-18 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2025-04-08 | 2025-05-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-08 | 2025-05-18 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2025-04-08 | 2025-05-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-04-08 | 2025-05-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-04-08 | 2025-05-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-04-08 | 2025-05-18 | Y |
| 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 | 2025-04-08 | 2025-05-18 | N |
| 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 | 2025-04-08 | 2025-05-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-14 | 2024-07-04 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-07 | 2023-05-01 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-02-07 | 2023-05-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-07 | 2023-05-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-07 | 2023-05-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-02-07 | 2023-05-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-07 | 2023-05-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-07 | 2023-05-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-07 | 2023-05-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-02-07 | 2023-05-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-07 | 2023-05-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-02-07 | 2023-05-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-02-07 | 2023-05-01 | N |
| Respond appropriately to all alleged violations. | Health | 2023-02-07 | 2023-03-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-07 | 2023-03-21 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-02-07 | 2023-03-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-02-07 | 2023-03-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-07 | 2023-03-21 | 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 | 2023-02-07 | 2023-03-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-02-07 | 2023-03-21 | 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 | 2023-02-07 | 2023-03-21 | 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 | 2023-02-07 | 2023-03-21 | 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 | 2023-02-07 | 2023-03-21 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-02-07 | 2023-03-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-02-07 | 2023-03-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-07 | 2023-03-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-02-07 | 2023-03-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-07 | 2023-03-21 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-02-07 | 2023-03-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-07 | 2023-03-21 | 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 | 2020-02-25 | 2021-03-21 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2020-02-25 | 2021-03-20 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2020-02-25 | 2020-03-16 | 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 | 2020-02-25 | 2020-03-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-25 | 2020-03-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-25 | 2020-03-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-25 | 2020-03-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-25 | 2020-03-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-25 | 2020-03-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-02-25 | 2020-03-16 | N |