A list of the most recent deficiencies for Accura Healthcare of Carroll. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-16 | 2023-09-05 | Y |
| 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 | 2023-08-16 | 2023-09-05 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-08-16 | 2023-09-05 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-16 | 2023-09-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-16 | 2023-09-05 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-16 | 2023-09-05 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-06 | 2023-03-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-06 | 2023-03-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-06 | 2023-03-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-06 | 2023-03-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-06 | 2023-03-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-06 | 2023-03-06 | 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 | 2023-03-02 | 2023-03-04 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-03-02 | 2023-03-04 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-03-02 | 2023-03-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-02 | 2023-03-04 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-02 | 2023-03-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-02 | 2023-03-04 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-12-28 | 2022-12-29 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-27 | 2021-11-27 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-10-27 | 2021-11-27 | 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 | 2021-10-21 | 2021-11-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-21 | 2021-11-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-27 | 2021-10-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-27 | 2021-10-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-11-13 | 2019-12-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-06 | 2019-12-06 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-11-06 | 2019-12-06 | 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 | 2019-11-06 | 2019-12-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-06 | 2019-12-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-06 | 2019-12-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-06 | 2019-12-06 | 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 | 2019-11-06 | 2019-12-06 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-11-06 | 2019-12-06 | 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 | 2019-11-06 | 2019-12-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-06 | 2019-12-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-06 | 2019-12-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-13 | 2019-11-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-13 | 2019-11-22 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2019-11-13 | 2019-11-22 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-11-13 | 2019-11-13 | N |
