A list of the most recent deficiencies for Homewood Health Campus. 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? |
|---|---|---|---|---|
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-03-21 | 2023-05-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-21 | 2023-05-23 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-03-07 | 2023-03-30 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-03-07 | 2023-03-30 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2023-03-07 | 2023-03-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-07 | 2023-03-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-07 | 2023-03-30 | 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 | 2023-03-07 | 2023-03-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-03-07 | 2023-03-30 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-03-21 | 2023-03-24 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-03-21 | 2023-03-24 | N |
| Develop a communication plan. | Fire Safety | 2023-03-21 | 2023-03-24 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-03-21 | 2023-03-24 | N |
| Meet other general requirements. | Fire Safety | 2023-03-21 | 2023-03-24 | 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 | 2023-03-21 | 2023-03-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-21 | 2023-03-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-21 | 2023-03-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-21 | 2023-03-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-21 | 2023-03-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-21 | 2023-03-24 | 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 | 2022-09-13 | 2022-09-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-13 | 2022-09-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-13 | 2022-01-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-09 | 2021-07-26 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2020-02-25 | 2020-06-30 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2020-02-25 | 2020-06-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-02-25 | 2020-06-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-02-25 | 2020-06-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-25 | 2020-06-30 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2020-02-25 | 2020-06-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-02-25 | 2020-06-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-25 | 2020-06-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-25 | 2020-06-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-25 | 2020-06-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-02-25 | 2020-06-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-02-25 | 2020-06-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-25 | 2020-06-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-25 | 2020-06-30 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2020-02-25 | 2020-06-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-02-10 | 2020-02-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-02-10 | 2020-02-28 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-02-10 | 2020-02-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-10 | 2020-02-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-10 | 2020-02-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-10 | 2020-02-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-10 | 2020-02-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-10 | 2020-02-28 | N |
| Post nurse staffing information every day. | Health | 2020-02-10 | 2020-02-28 | 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 | 2020-02-10 | 2020-02-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-02-10 | 2020-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-10 | 2020-02-28 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-01-08 | 2019-02-08 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-01-08 | 2019-02-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-01-08 | 2019-02-07 | N |
| Meet other general requirements. | Fire Safety | 2019-01-08 | 2019-02-07 | 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 | 2019-01-08 | 2019-02-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-01-08 | 2019-02-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-08 | 2019-02-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-01-08 | 2019-02-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-01-08 | 2019-02-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-08 | 2019-02-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-12-19 | 2019-01-18 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-12-19 | 2019-01-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-12-19 | 2019-01-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-19 | 2019-01-18 | 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 | 2018-12-19 | 2019-01-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-19 | 2019-01-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-12-19 | 2019-01-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-12-19 | 2019-01-18 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-12-19 | 2019-01-18 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-12-19 | 2019-01-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-12-19 | 2019-01-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-12-19 | 2019-01-18 | 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 | 2018-12-19 | 2019-01-18 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-12-19 | 2019-01-18 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-12-19 | 2019-01-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-19 | 2019-01-18 | N |
