A list of the most recent deficiencies for Henderson County Ret 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-30 | 2023-08-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-30 | 2023-06-20 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-05-30 | 2023-06-15 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-05-30 | 2023-06-15 | 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 | 2023-05-30 | 2023-06-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-30 | 2023-06-13 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2023-05-30 | 2023-06-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-04 | 2023-05-22 | 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 | 2023-05-04 | 2023-05-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-08 | 2022-09-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-08 | 2022-05-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-08 | 2022-04-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-08 | 2022-04-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-25 | 2021-04-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-02-25 | 2021-03-05 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-02-25 | 2021-03-05 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-02-25 | 2021-03-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-02-25 | 2021-02-26 | N |
