A list of the most recent deficiencies for Hooverwood. 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 that residents are free from significant medication errors. | Health | 2023-10-12 | 2023-11-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-17 | 2023-08-09 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-01-19 | 2023-03-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-19 | 2023-03-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-19 | 2023-03-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-19 | 2023-03-01 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-01-19 | 2023-03-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-01-19 | 2023-03-01 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-01-19 | 2023-03-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-01-19 | 2023-03-01 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-01-19 | 2023-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-21 | 2023-01-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-21 | 2023-01-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-21 | 2023-01-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-21 | 2023-01-21 | 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 | 2022-12-21 | 2023-01-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-21 | 2023-01-21 | 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 | 2022-12-21 | 2023-01-21 | 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 | 2022-12-21 | 2023-01-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-21 | 2023-01-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-21 | 2023-01-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-21 | 2023-01-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-21 | 2023-01-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-21 | 2023-01-21 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-12-21 | 2023-01-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-19 | 2022-06-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-03 | 2022-03-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-03 | 2022-03-21 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-03-03 | 2022-03-21 | 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 | 2022-03-03 | 2022-03-21 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-03 | 2022-03-21 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-07-09 | 2021-08-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-09 | 2021-08-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-07 | 2021-05-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-07 | 2021-05-26 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-05-07 | 2021-05-26 | Y |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-01-17 | 2020-02-15 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2020-01-17 | 2020-02-15 | N |
| Develop a communication plan. | Fire Safety | 2020-01-17 | 2020-02-15 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2020-01-17 | 2020-02-15 | N |
| Establish methods for sharing information. | Fire Safety | 2020-01-17 | 2020-02-15 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2020-01-17 | 2020-02-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-01-17 | 2020-02-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-17 | 2020-02-15 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2020-01-17 | 2020-02-15 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-01-17 | 2020-02-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-17 | 2020-02-15 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2020-01-17 | 2020-02-15 | N |
| 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 | 2019-10-30 | 2019-11-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-30 | 2019-11-26 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-10-30 | 2019-11-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-30 | 2019-11-26 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-10-30 | 2019-11-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-30 | 2019-11-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-30 | 2019-11-26 | 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 | 2019-10-30 | 2019-11-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-30 | 2019-11-26 | 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 | 2019-10-30 | 2019-11-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-30 | 2019-11-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-30 | 2019-11-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-12-12 | 2019-01-15 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-12-12 | 2019-01-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-12 | 2019-01-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-12-12 | 2019-01-15 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2018-12-12 | 2019-01-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-30 | 2018-11-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-30 | 2018-11-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-30 | 2018-11-29 | 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 | 2018-10-30 | 2018-11-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-10-30 | 2018-11-29 | 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 | 2018-10-30 | 2018-11-29 | 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 | 2018-10-30 | 2018-11-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-30 | 2018-11-29 | N |
