A list of the most recent deficiencies for Envive of Huntington. 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 | 2023-06-05 | 2023-08-31 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-06-05 | 2023-08-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-05 | 2023-08-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-05 | 2023-08-31 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-06-05 | 2023-08-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-05 | 2023-08-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-06-05 | 2023-08-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-26 | 2023-07-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-06-29 | 2023-07-12 | Y |
| Help the resident with transportation to and from laboratory services outside of the facility. | Health | 2023-06-29 | 2023-07-12 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-05-26 | 2023-06-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-26 | 2023-06-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-26 | 2023-06-19 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-05-26 | 2023-06-19 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-04-13 | 2023-04-28 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-04-13 | 2023-04-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-07 | 2022-12-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-22 | 2022-12-08 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-08-22 | 2022-10-10 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-08-22 | 2022-10-10 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-08-22 | 2022-10-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-08-22 | 2022-10-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-08-22 | 2022-10-10 | 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 | 2022-08-22 | 2022-10-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-22 | 2022-10-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-22 | 2022-10-10 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-08-22 | 2022-10-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-08-22 | 2022-10-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-22 | 2022-10-10 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-08-22 | 2022-10-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-22 | 2022-10-10 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-08-22 | 2022-10-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-22 | 2022-10-10 | N |
| Have an externally vented heating system. | Fire Safety | 2022-08-22 | 2022-10-10 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2022-08-22 | 2022-10-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-08-22 | 2022-10-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-22 | 2022-10-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-22 | 2022-10-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-22 | 2022-10-10 | N |
| Respond appropriately to all alleged violations. | Health | 2022-09-20 | 2022-09-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-22 | 2022-08-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-22 | 2022-08-15 | N |
| Respond appropriately to all alleged violations. | Health | 2022-07-22 | 2022-08-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-22 | 2022-08-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-07-22 | 2022-08-15 | 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 | 2022-07-22 | 2022-08-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-22 | 2022-08-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-22 | 2022-08-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-22 | 2022-08-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-07-22 | 2022-08-15 | 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 | 2022-07-22 | 2022-08-15 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-07-22 | 2022-08-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-22 | 2022-08-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-11 | 2022-06-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-11 | 2022-06-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-11 | 2022-06-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-11 | 2022-06-06 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-03-21 | 2022-04-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-21 | 2022-04-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-21 | 2022-04-12 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-21 | 2022-04-12 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-06 | 2022-02-05 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-01-06 | 2022-02-05 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-12-15 | 2022-01-19 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2021-12-15 | 2022-01-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-15 | 2022-01-19 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-12-15 | 2022-01-19 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2021-08-10 | 2021-09-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-08-10 | 2021-09-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-10 | 2021-09-03 | 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 | 2021-08-10 | 2021-09-03 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2021-08-10 | 2021-09-03 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-08-10 | 2021-09-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-08-10 | 2021-09-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-10 | 2021-09-03 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2021-08-10 | 2021-09-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-10 | 2021-09-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-10 | 2021-09-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-10 | 2021-09-03 | N |
| Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2021-08-10 | 2021-09-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-10 | 2021-09-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-10 | 2021-09-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-10 | 2021-09-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-10 | 2021-09-03 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-07-30 | 2021-08-23 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-07-30 | 2021-08-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-07-30 | 2021-08-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-30 | 2021-08-23 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-07-30 | 2021-08-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-30 | 2021-08-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-30 | 2021-08-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-15 | 2021-06-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-29 | 2021-05-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-13 | 2021-04-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-13 | 2021-04-23 | Y |
