A list of the most recent deficiencies for The Nathaniel Witherell. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-10 | 2023-09-30 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-08-10 | 2023-09-20 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-05-17 | 2023-06-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-17 | 2023-06-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-09 | 2022-08-01 | 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 | 2022-03-09 | 2022-08-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-09 | 2022-08-01 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-09 | 2022-08-01 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-03-09 | 2022-08-01 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-03-09 | 2022-08-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-09 | 2022-08-01 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-03-09 | 2022-08-01 | Y |
| 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 | 2022-03-09 | 2022-08-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-09 | 2022-08-01 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-03-09 | 2022-08-01 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-03-09 | 2022-07-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-09 | 2022-06-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-09 | 2022-06-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-09 | 2022-06-01 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-09 | 2022-06-01 | Y |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-03-01 | 2022-04-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-01 | 2022-04-29 | 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 | 2022-03-01 | 2022-04-29 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-03-01 | 2022-04-29 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-03-01 | 2022-04-29 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-03-01 | 2022-04-29 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-03-01 | 2022-04-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-03-01 | 2022-04-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-01 | 2022-04-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-01 | 2022-04-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-08-08 | 2019-09-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-09 | 2019-09-16 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-08-09 | 2019-09-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-08-09 | 2019-09-16 | N |
| Respond appropriately to all alleged violations. | Health | 2019-08-09 | 2019-09-16 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-08-09 | 2019-09-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-09 | 2019-09-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-09 | 2019-09-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-08 | 2019-08-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-08-08 | 2019-08-28 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-07-10 | 2018-08-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-07-10 | 2018-08-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-12 | 2018-08-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-07-12 | 2018-08-22 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-07-12 | 2018-08-22 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2018-07-12 | 2018-08-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-12 | 2018-07-31 | N |
| Keep all essential equipment working safely. | Health | 2018-07-12 | 2018-07-31 | N |
