A list of the most recent deficiencies for Calhoun Nursing and Rehab 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-03 | 2024-01-19 | 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 | 2023-06-05 | 2023-07-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-05 | 2023-06-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-05 | 2023-06-23 | 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 | 2023-06-05 | 2023-06-23 | N |
| 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 | 2023-06-05 | 2023-06-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-06-05 | 2023-06-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-05 | 2023-06-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-05 | 2023-06-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-09 | 2023-06-23 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-06-09 | 2023-06-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-09 | 2023-06-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-21 | 2022-06-22 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-06-01 | 2022-06-17 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-06-01 | 2022-06-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-01 | 2022-06-17 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-06-01 | 2022-06-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-19 | 2022-06-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-19 | 2022-06-14 | N |
| Provide activities to meet all resident's needs. | Health | 2022-05-19 | 2022-06-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-19 | 2022-06-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-19 | 2022-06-14 | 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 | 2022-05-19 | 2022-06-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-19 | 2022-06-14 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-05-19 | 2022-06-14 | 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 | 2022-05-19 | 2022-06-14 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-05-19 | 2022-06-14 | 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 | 2022-05-19 | 2022-06-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-19 | 2022-06-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-25 | 2022-02-18 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2022-01-25 | 2022-02-18 | 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 | 2021-08-19 | 2021-09-15 | 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 | 2021-08-19 | 2021-09-15 | N |
| 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 | 2021-08-19 | 2021-09-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-19 | 2021-09-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-08-20 | 2021-09-15 | 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 | 2021-08-20 | 2021-09-15 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-08-20 | 2021-09-15 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-08-20 | 2021-09-15 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2021-08-20 | 2021-09-15 | N |
