A list of the most recent deficiencies for Integrity Hc of Carbondale. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-01 | 2023-11-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-01 | 2023-11-09 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-05-16 | 2023-05-26 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2023-03-22 | 2023-04-12 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-03-22 | 2023-04-07 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-03-22 | 2023-04-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-22 | 2023-04-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-03-22 | 2023-04-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-03-22 | 2023-04-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-22 | 2023-04-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-22 | 2023-04-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-22 | 2023-04-07 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-03-22 | 2023-04-04 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-10 | 2023-03-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-18 | 2022-11-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-31 | 2022-06-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-05-31 | 2022-06-06 | 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 | 2022-05-31 | 2022-06-06 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-05-31 | 2022-06-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-31 | 2022-06-06 | 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 | 2022-05-31 | 2022-06-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-05-31 | 2022-06-06 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-05-31 | 2022-06-06 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-05-31 | 2022-06-06 | N |
| 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 | 2022-05-31 | 2022-06-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-31 | 2022-06-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-25 | 2022-06-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-05-25 | 2022-06-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-25 | 2022-06-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-25 | 2022-06-06 | 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 | 2022-03-10 | 2022-03-14 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-03-10 | 2022-03-14 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-03-10 | 2022-03-14 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-08-19 | 2021-08-23 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2021-08-19 | 2021-08-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-19 | 2021-08-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-08-19 | 2021-08-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-19 | 2021-08-23 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-07-28 | 2021-08-20 | 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 | 2021-07-28 | 2021-08-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-07-28 | 2021-08-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-28 | 2021-08-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-28 | 2021-08-20 | N |
| Have enough space near smoke barriers to protect residents. | Fire Safety | 2021-07-28 | 2021-08-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-28 | 2021-08-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-28 | 2021-08-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-07-28 | 2021-08-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-28 | 2021-08-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-07-30 | 2021-08-05 | 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 | 2021-07-30 | 2021-08-05 | 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 | 2021-07-30 | 2021-08-05 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2021-07-30 | 2021-08-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-30 | 2021-08-05 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-07-30 | 2021-08-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-16 | 2021-04-19 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-04-16 | 2021-04-19 | Y |
