Deficiency Records for The Hsc Pediatric Skilled Nursing Facility
Updated as of March 01, 2024
A list of the most recent deficiencies for The Hsc Pediatric Skilled Nursing Facility. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-09 | 2023-05-12 | 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 | 2023-02-09 | 2023-05-12 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-02-09 | 2023-05-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-02-09 | 2023-05-12 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-02-09 | 2023-05-12 | 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 | 2023-02-09 | 2023-05-12 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-09 | 2023-05-12 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-02-09 | 2023-05-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-09 | 2023-05-12 | 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 | 2023-02-09 | 2023-05-12 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-02-09 | 2023-05-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-09 | 2023-05-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-09 | 2023-05-12 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-02-09 | 2023-05-12 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-02-09 | 2023-05-12 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2023-01-06 | 2023-01-23 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-08-12 | 2021-10-21 | 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 | 2021-08-12 | 2021-10-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-12 | 2021-10-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-12 | 2021-10-21 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-08-12 | 2021-10-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-12 | 2021-10-21 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-08-18 | 2021-10-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-18 | 2021-10-21 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-11-19 | 2019-12-06 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-11-19 | 2019-12-06 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-11-19 | 2019-12-06 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-11-19 | 2019-12-06 | N |
