Deficiency Records for Rehabilitation Center at Hartsfield Village
Updated as of March 01, 2024
A list of the most recent deficiencies for Rehabilitation Center at Hartsfield Village. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-04 | 2023-05-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-04 | 2023-05-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-04 | 2023-05-24 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-03-13 | 2023-03-31 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-03-13 | 2023-03-31 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-03-13 | 2023-03-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-13 | 2023-03-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-13 | 2023-03-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-13 | 2023-03-31 | 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 | 2023-03-13 | 2023-03-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-13 | 2023-03-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-13 | 2023-03-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-13 | 2023-03-31 | 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 | 2023-03-13 | 2023-03-31 | 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 | 2023-03-13 | 2023-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-13 | 2023-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-03 | 2022-01-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-12 | 2019-12-20 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2019-12-12 | 2019-12-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-09-16 | 2019-10-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-16 | 2019-10-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-09-16 | 2019-10-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-16 | 2019-10-29 | N |
| Post nurse staffing information every day. | Health | 2019-09-16 | 2019-10-29 | 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 | 2019-09-16 | 2019-10-29 | 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 | 2019-09-16 | 2019-10-29 | 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 | 2019-09-16 | 2019-10-29 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-09-16 | 2019-10-29 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2019-09-16 | 2019-10-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-16 | 2019-10-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-16 | 2019-10-29 | 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 | 2018-08-27 | 2018-09-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-08-27 | 2018-09-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-27 | 2018-09-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-27 | 2018-09-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-08-27 | 2018-09-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-08-27 | 2018-09-20 | 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 | 2018-07-26 | 2018-08-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-26 | 2018-08-25 | N |
| Provide appropriate foot care. | Health | 2018-07-26 | 2018-08-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-07-26 | 2018-08-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-07-26 | 2018-08-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-07-26 | 2018-08-25 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-07-26 | 2018-08-25 | N |
