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Deficiency Records for Henderson County Ret Center
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.
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? |
|---|---|---|---|---|
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-05-10 | 2024-06-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-10 | 2024-06-24 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-05-10 | 2024-06-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-08 | 2024-05-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-05-08 | 2024-05-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-08 | 2024-05-30 | N |
| 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 |
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