Deficiency Records for Rural Health Care Center

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Updated as of March 01, 2024

A list of the most recent deficiencies for Rural Health Care Center. 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 2024-01-22 2024-02-05 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-01-22 2024-02-05 N
Meet other general requirements that are deficient. Fire Safety 2024-01-22 2024-02-05 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-01-22 2024-02-05 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-01-22 2024-02-05 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-01-22 2024-02-05 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-01-22 2024-02-05 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2023-12-14 2024-01-11 N
Honor the resident's right to manage his or her financial affairs. Health 2023-12-14 2024-01-11 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 2023-12-14 2024-01-11 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2023-12-14 2024-01-11 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-12-14 2024-01-11 N
Protect each resident from the wrongful use of the resident's belongings or money. Health 2023-12-14 2024-01-11 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-12-14 2024-01-11 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-12-14 2024-01-11 N
Respond appropriately to all alleged violations. Health 2023-12-14 2024-01-11 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-12-14 2024-01-11 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2023-12-14 2024-01-11 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-12-14 2024-01-11 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-12-14 2024-01-11 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-12-14 2024-01-11 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2023-12-14 2024-01-11 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 2023-12-14 2024-01-11 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-12-14 2024-01-11 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-12-14 2024-01-11 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2023-12-14 2024-01-11 N
Post nurse staffing information every day. Health 2023-12-14 2024-01-11 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2023-12-14 2024-01-11 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-12-14 2024-01-11 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 2023-12-14 2024-01-11 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-12-14 2024-01-11 N
Dispose of garbage and refuse properly. Health 2023-12-14 2024-01-11 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2023-12-14 2024-01-11 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-12-14 2024-01-11 N
Provide and implement an infection prevention and control program. Health 2023-12-14 2024-01-11 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2023-12-14 2024-01-11 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-12-14 2024-01-11 N
Put firmly secured handrails on each side of hallways. Health 2023-12-14 2024-01-11 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2023-12-14 2024-01-11 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-10-12 2023-10-31 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-08-17 2023-10-31 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2023-08-17 2023-10-31 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-09-18 2023-10-08 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-08-17 2023-08-31 Y
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Health 2023-08-17 2023-08-31 Y
Employ staff that are licensed, certified, or registered in accordance with state laws. Health 2023-06-07 2023-06-25 Y
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2023-04-28 2023-05-25 Y
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2023-04-28 2023-05-25 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-08-26 2022-11-04 N
Respond appropriately to all alleged violations. Health 2022-08-26 2022-11-04 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 2022-08-26 2022-11-04 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2022-10-04 2022-10-28 N
Implement emergency and standby power systems. Fire Safety 2022-10-04 2022-10-28 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2022-10-04 2022-10-28 N
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. Fire Safety 2022-10-04 2022-10-28 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-10-04 2022-10-28 N
Meet other general requirements that are deficient. Fire Safety 2022-10-04 2022-10-28 N
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Fire Safety 2022-10-04 2022-10-28 N
Install an approved automatic sprinkler system. Fire Safety 2022-10-04 2022-10-28 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-10-04 2022-10-28 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-10-04 2022-10-28 N
Provide a written emergency evacuation plan. Fire Safety 2022-10-04 2022-10-28 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-10-04 2022-10-28 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-10-04 2022-10-28 N
Have proper medical gas storage and administration areas. Fire Safety 2022-10-04 2022-10-28 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 2022-08-26 2022-09-23 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-08-26 2022-09-23 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-08-26 2022-09-23 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 2022-08-26 2022-09-23 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2022-08-26 2022-09-23 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-08-26 2022-09-23 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-08-26 2022-09-23 N
Assist a resident in gaining access to vision and hearing services. Health 2022-08-26 2022-09-23 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2022-08-26 2022-09-23 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2022-08-26 2022-09-23 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-08-26 2022-09-23 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 2022-08-26 2022-09-23 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2022-08-26 2022-09-23 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-08-26 2022-09-23 N
Provide and implement an infection prevention and control program. Health 2022-08-26 2022-09-23 N
Implement a program that monitors antibiotic use. Health 2022-08-26 2022-09-23 N
Provide bedrooms that don't allow residents to see each other when privacy is needed. Health 2022-08-26 2022-09-23 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2022-08-26 2022-09-23 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-08-26 2022-09-23 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2022-08-26 2022-09-23 N
Establish policies and procedures for volunteers. Fire Safety 2021-06-14 2021-08-11 N
Provide family notifications of emergency plan. Fire Safety 2021-06-14 2021-08-11 N
Have exits that are accessible at all times. Fire Safety 2021-06-14 2021-08-11 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-06-14 2021-08-11 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2021-06-14 2021-08-11 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-06-14 2021-08-11 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2021-06-14 2021-08-11 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-06-14 2021-08-11 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-05-26 2021-06-25 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 2021-05-26 2021-06-25 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-05-26 2021-06-25 N
Provide and implement an infection prevention and control program. Health 2021-05-26 2021-06-25 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2021-05-26 2021-06-25 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-04-14 2021-05-14 Y
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2021-04-14 2021-05-14 Y