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 |