A list of the most recent deficiencies for Smith Medical Nursing Care Ctr. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-24 | 2023-04-25 | Y |
| 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 | 2023-02-01 | 2023-04-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-01 | 2023-04-11 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2023-01-31 | 2023-03-15 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-01-31 | 2023-03-15 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-31 | 2023-03-15 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-01-31 | 2023-03-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-31 | 2023-03-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-31 | 2023-03-15 | 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 | 2023-01-31 | 2023-03-15 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-01-31 | 2023-03-15 | Y |
| Provide or obtain dental services for each resident. | Health | 2023-01-31 | 2023-03-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-31 | 2023-03-15 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-01-31 | 2023-03-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-31 | 2023-03-15 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-01-31 | 2023-03-15 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-01-31 | 2023-03-15 | 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 | 2023-01-31 | 2023-03-15 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-01-31 | 2023-03-15 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-01-31 | 2023-03-15 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-02-01 | 2023-03-15 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-02-01 | 2023-03-15 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2023-02-01 | 2023-03-15 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-02-01 | 2023-03-15 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-02-01 | 2023-03-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-01 | 2023-03-15 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-02-01 | 2023-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-01 | 2023-03-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-01 | 2023-03-15 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2021-09-16 | 2021-10-31 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-09-16 | 2021-10-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-16 | 2021-10-31 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-09-16 | 2021-10-31 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-09-14 | 2021-10-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-10-03 | 2019-01-05 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-10-03 | 2018-12-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-10-03 | 2018-12-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-03 | 2018-12-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-03 | 2018-12-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-10-03 | 2018-12-15 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-10-04 | 2018-11-18 | 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 | 2018-10-04 | 2018-11-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-04 | 2018-11-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-04 | 2018-11-18 | N |
| Provide activities to meet all resident's needs. | Health | 2018-10-04 | 2018-11-18 | 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 | 2018-10-04 | 2018-11-18 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-10-04 | 2018-11-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-04 | 2018-11-18 | N |
| Dispose of garbage and refuse properly. | Health | 2018-10-04 | 2018-11-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-04 | 2018-11-18 | N |
| Keep all essential equipment working safely. | Health | 2018-10-04 | 2018-11-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-10-04 | 2018-11-18 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2018-10-03 | 2018-11-18 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-10-03 | 2018-11-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-10-03 | 2018-11-18 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-10-03 | 2018-11-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-03 | 2018-11-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-10-03 | 2018-11-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-10-03 | 2018-11-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-03 | 2018-11-18 | N |
