A list of the most recent deficiencies for Hearthstone 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? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2023-03-07 | 2023-03-22 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-03-07 | 2023-03-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-07 | 2023-03-22 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-02-21 | 2023-03-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-02-21 | 2023-03-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-21 | 2023-03-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-21 | 2023-03-14 | 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 | 2023-02-21 | 2023-03-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-02-21 | 2023-03-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-02-21 | 2023-03-14 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-04-25 | 2022-05-02 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-04-25 | 2022-05-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-04-25 | 2022-05-02 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-04-25 | 2022-05-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-04-25 | 2022-05-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-25 | 2022-05-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-25 | 2022-05-02 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-04-25 | 2022-05-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-03-25 | 2022-04-11 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-03-25 | 2022-04-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-25 | 2022-04-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-19 | 2020-02-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-19 | 2020-02-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-17 | 2019-10-09 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-09-17 | 2019-10-09 | 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 | 2019-09-17 | 2019-10-09 | 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 | 2019-09-17 | 2019-10-09 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-09-17 | 2019-10-09 | N |
