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Deficiency Records for Axiom Healthcare of West Frankfort
View the most recent health deficiencies and inspection results for Axiom Healthcare of West Frankfort. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Axiom Healthcare of West Frankfort. Stay informed about quality of care issues.
| 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 | 2026-04-16 | 2026-04-24 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2026-01-09 | 2026-01-19 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-01-09 | 2026-01-16 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2025-09-16 | 2025-10-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-09-16 | 2025-10-01 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-09-16 | 2025-10-01 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2025-09-16 | 2025-10-01 | 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 | 2025-09-16 | 2025-10-01 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-09-16 | 2025-10-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-09-16 | 2025-10-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-09-16 | 2025-10-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-09-16 | 2025-10-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-16 | 2025-10-01 | Y |
| 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 | 2025-09-16 | 2025-10-01 | Y |
| 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 | 2025-09-16 | 2025-10-01 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2025-09-16 | 2025-10-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-19 | 2025-08-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-08-19 | 2025-08-29 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2025-08-19 | 2025-08-27 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-06-02 | 2025-06-12 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2025-03-14 | 2025-04-25 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2025-03-14 | 2025-03-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-03-14 | 2025-03-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-03-14 | 2025-03-31 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2025-03-14 | 2025-03-31 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-03-14 | 2025-03-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-14 | 2025-03-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-03-14 | 2025-03-31 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-03-14 | 2025-03-31 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2025-03-14 | 2025-03-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-03-14 | 2025-03-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-03-14 | 2025-03-31 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2025-03-14 | 2025-03-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-03-14 | 2025-03-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-03-14 | 2025-03-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-03-14 | 2025-03-31 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-03-14 | 2025-03-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-14 | 2025-03-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-03-14 | 2025-03-31 | N |
| Establish methods for sharing information. | Fire Safety | 2025-03-14 | 2025-03-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-03-14 | 2025-03-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-03-14 | 2025-03-31 | 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 | 2025-03-14 | 2025-03-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-03-14 | 2025-03-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-03-14 | 2025-03-31 | N |
| Install proper backup exit lighting. | Fire Safety | 2025-03-14 | 2025-03-31 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-03-14 | 2025-03-31 | N |
| Establish emergency prep training and testing. | Fire Safety | 2025-03-14 | 2025-03-31 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2025-03-14 | 2025-03-31 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2025-03-14 | 2025-03-31 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2025-03-14 | 2025-03-31 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2025-03-14 | 2025-03-31 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2025-03-14 | 2025-03-31 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2025-03-14 | 2025-03-31 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-03-14 | 2025-03-31 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2024-12-20 | 2025-01-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-12-20 | 2025-01-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-21 | 2024-06-26 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-05-21 | 2024-05-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-21 | 2024-05-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-21 | 2024-05-31 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2024-05-21 | 2024-05-31 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-03-22 | 2024-05-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-03-22 | 2024-05-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-22 | 2024-05-31 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-03-22 | 2024-05-31 | 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 | 2024-03-22 | 2024-05-31 | 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 | 2024-03-22 | 2024-04-26 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-03-22 | 2024-04-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-03-22 | 2024-04-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-22 | 2024-04-26 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-03-22 | 2024-04-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-22 | 2024-04-26 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-03-22 | 2024-04-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-22 | 2024-04-26 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-03-22 | 2024-04-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-22 | 2024-04-26 | 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 | 2024-03-22 | 2024-04-12 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-03-22 | 2024-04-12 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-03-22 | 2024-04-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-03-22 | 2024-04-12 | 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 | 2024-03-22 | 2024-04-12 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-07-13 | 2023-07-26 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-10 | 2023-03-10 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-02-10 | 2023-03-10 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-02-10 | 2023-03-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-02-10 | 2023-03-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-10 | 2023-03-10 | 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 | 2023-02-10 | 2023-03-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-10 | 2023-03-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-02-10 | 2023-03-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-10 | 2023-03-10 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-02-10 | 2023-03-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-10 | 2023-03-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-10 | 2023-03-06 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-02-10 | 2023-03-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-10 | 2023-03-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-02-10 | 2023-03-06 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-02-10 | 2023-03-06 | 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 | 2023-02-10 | 2023-03-06 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-02-10 | 2023-03-06 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-02-10 | 2023-03-06 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-02-10 | 2023-03-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-10 | 2023-03-06 | N |