A list of the most recent deficiencies for Calhoun Health Care 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 | 2023-03-16 | 2023-04-11 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-16 | 2023-04-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-16 | 2023-04-11 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-03-16 | 2023-04-11 | 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 | 2023-03-16 | 2023-04-11 | 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 | 2023-03-16 | 2023-04-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-16 | 2023-04-11 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-03-16 | 2023-04-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-16 | 2023-04-11 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-03-16 | 2023-04-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-16 | 2023-04-11 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-16 | 2023-04-11 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-03-16 | 2023-04-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-16 | 2023-04-11 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-16 | 2023-04-11 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-03-16 | 2023-04-11 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-03-15 | 2023-04-11 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-03-15 | 2023-04-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-15 | 2023-04-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-15 | 2023-04-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-15 | 2023-04-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-15 | 2023-04-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-15 | 2023-04-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-22 | 2021-06-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-22 | 2021-06-06 | 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 | 2021-04-22 | 2021-06-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-22 | 2021-06-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-04-22 | 2021-06-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-04-22 | 2021-06-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-04-22 | 2021-06-06 | N |
| Meet other general requirements. | Fire Safety | 2018-08-13 | 2018-10-16 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-08-16 | 2018-10-10 | N |
| 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 | 2018-08-16 | 2018-10-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-08-16 | 2018-10-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-16 | 2018-10-10 | 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 | 2018-08-16 | 2018-10-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-16 | 2018-10-10 | 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 | 2018-08-16 | 2018-10-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-16 | 2018-10-10 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-08-13 | 2018-10-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-08-13 | 2018-10-10 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-08-13 | 2018-10-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-08-13 | 2018-10-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-08-13 | 2018-10-10 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-08-13 | 2018-10-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-08-13 | 2018-10-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-13 | 2018-10-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-13 | 2018-10-10 | N |
