A list of the most recent deficiencies for Hamilton Pointe Health and Rehab. 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? |
|---|---|---|---|---|
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-29 | 2023-09-11 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-11-22 | 2022-12-21 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-11-22 | 2022-12-21 | 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 | 2022-11-22 | 2022-12-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-22 | 2022-12-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-22 | 2022-12-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-22 | 2022-12-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-11-22 | 2022-12-21 | 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 | 2022-11-22 | 2022-12-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-22 | 2022-12-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-22 | 2022-12-21 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2022-11-22 | 2022-12-21 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-02-21 | 2022-03-21 | N |
| Post nurse staffing information every day. | Health | 2022-02-21 | 2022-03-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-21 | 2022-03-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-21 | 2022-03-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-21 | 2022-03-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-01 | 2021-12-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-09 | 2021-12-02 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-09-30 | 2021-10-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-01 | 2021-09-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-24 | 2019-09-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-24 | 2019-09-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-06-24 | 2019-08-22 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2019-06-24 | 2019-08-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-24 | 2019-08-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-30 | 2019-08-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-30 | 2019-08-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-30 | 2019-08-09 | N |
