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Deficiency Records for Nancy Hart Operation LLC
View the most recent health deficiencies and inspection results for Nancy Hart Operation LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Nancy Hart Operation LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| List the names and contact information of those in the facility. | Fire Safety | 2025-07-24 | 2025-09-07 | N |
| 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 | 2025-07-24 | 2025-09-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-07-24 | 2025-09-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-07-24 | 2025-09-07 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-07-24 | 2025-09-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-07-24 | 2025-09-07 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-07-24 | 2025-09-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-07-24 | 2025-09-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-07-24 | 2025-09-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-07-24 | 2025-09-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-07-24 | 2025-09-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-29 | 2025-05-31 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-02-29 | 2024-05-23 | N |
| Meet other general requirements. | Fire Safety | 2024-02-29 | 2024-05-23 | N |
| Meet other general requirements. | Fire Safety | 2024-02-29 | 2024-05-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-29 | 2024-05-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-29 | 2024-04-14 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-02-29 | 2024-04-14 | 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 | 2024-02-29 | 2024-04-14 | Y |
| 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 | 2024-02-29 | 2024-04-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-29 | 2024-04-14 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-02-29 | 2024-04-14 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-02-29 | 2024-04-14 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-02-29 | 2024-04-14 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-02-29 | 2024-04-14 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-02-29 | 2024-04-14 | 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 | 2024-02-29 | 2024-04-14 | Y |
| Implement a program that monitors antibiotic use. | Health | 2024-02-29 | 2024-04-14 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-29 | 2024-04-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-29 | 2024-04-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-29 | 2024-04-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-29 | 2024-04-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-29 | 2024-04-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-02-29 | 2024-04-14 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-02-29 | 2024-04-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-07-21 | 2023-09-15 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-21 | 2023-09-15 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-21 | 2023-09-15 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-21 | 2023-09-15 | Y |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2023-07-21 | 2023-09-15 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-07-21 | 2023-09-15 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2023-07-21 | 2023-09-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-21 | 2023-07-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-21 | 2023-07-12 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-07-21 | 2023-07-12 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-01-06 | 2023-02-20 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-01-06 | 2023-02-20 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2023-01-06 | 2023-02-20 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-01-06 | 2023-02-20 | N |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-01-06 | 2023-02-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-06 | 2023-02-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-01-06 | 2023-02-20 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-01-06 | 2023-02-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-06 | 2023-02-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-06 | 2023-02-20 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-01-06 | 2023-02-20 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-01-06 | 2023-02-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-01-06 | 2023-02-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-06 | 2023-02-20 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2023-01-06 | 2023-02-20 | N |