Deficiency Records for Integrity Hc of Herrin
Updated as of September 01, 2020
This is not the most recent data for Integrity Hc of Herrin. For the most recent information, click here.
A list of the most recent deficiencies for Integrity Hc of Herrin. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-17 | 2019-09-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-17 | 2019-09-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-17 | 2019-09-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-17 | 2019-09-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-17 | 2019-09-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-09-17 | 2019-09-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-13 | 2019-09-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-09-13 | 2019-09-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-13 | 2019-09-27 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-09-13 | 2019-09-27 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-09-13 | 2019-09-27 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-09-13 | 2019-09-27 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-09-13 | 2019-09-27 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-04-19 | 2019-05-01 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-04-19 | 2019-05-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-04-19 | 2019-05-01 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-12-04 | 2018-12-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-12-04 | 2018-12-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-12-04 | 2018-12-17 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-08-07 | 2018-10-15 | 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 | 2018-08-07 | 2018-10-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-08-07 | 2018-10-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-08-07 | 2018-10-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-08-07 | 2018-09-26 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-08-07 | 2018-09-26 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2018-08-07 | 2018-09-26 | Y |
| 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 | 2018-08-16 | 2018-09-26 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-08-16 | 2018-09-26 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-08-16 | 2018-09-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-08-16 | 2018-09-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-08-15 | 2018-09-07 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-08-15 | 2018-09-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-08-15 | 2018-08-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-15 | 2018-08-20 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-08-16 | 2018-08-17 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-08-15 | 2018-08-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-15 | 2018-08-16 | 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 | 2018-08-07 | 2018-08-15 | Y |
| Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | Health | 2018-08-07 | 2018-08-15 | Y |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2017-11-03 | 2017-11-30 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility | Health | 2017-09-26 | 2017-10-06 | Y |
| Keep clinical record information safe. | Health | 2017-09-26 | 2017-10-06 | 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 | 2017-07-26 | 2017-08-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-07-26 | 2017-08-04 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-07-26 | 2017-08-04 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-07-19 | 2017-08-04 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-07-19 | 2017-08-04 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-07-19 | 2017-08-04 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-07-19 | 2017-08-04 | N |
