A list of the most recent deficiencies for Harbour Health Center. 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? |
---|---|---|---|---|
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-09 | 2022-05-16 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-09 | 2022-05-16 | 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 | 2022-03-10 | 2022-04-10 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-10 | 2022-04-10 | 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 | 2022-03-10 | 2022-04-10 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-03-07 | 2022-04-10 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-07 | 2022-04-10 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-07 | 2022-04-10 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-09-29 | 2020-11-25 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-09-29 | 2020-11-25 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-02-28 | 2019-03-28 | 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 | 2019-02-28 | 2019-03-28 | N |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-02-28 | 2019-03-28 | N |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-02-25 | 2019-03-28 | N |
Address patient/client population and determine types of services needed. | Fire Safety | 2019-02-25 | 2019-03-28 | N |
Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-02-25 | 2019-03-28 | N |
Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-02-25 | 2019-03-28 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2019-02-25 | 2019-03-28 | N |
Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-02-25 | 2019-03-28 | N |
Establish methods for sharing information. | Fire Safety | 2019-02-25 | 2019-03-28 | N |
Provide family notifications of emergency plan. | Fire Safety | 2019-02-25 | 2019-03-28 | N |
Establish emergency prep training and testing. | Fire Safety | 2019-02-25 | 2019-03-28 | N |
Establish staff and initial training requirements. | Fire Safety | 2019-02-25 | 2019-03-28 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-02-25 | 2019-03-28 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-02-25 | 2019-03-28 | N |