Deficiency Records for Pocahontas Manor
Updated as of February 01, 2022
This is not the most recent data for Pocahontas Manor. For the most recent information, click here.
A list of the most recent deficiencies for Pocahontas Manor. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-03 | 2021-10-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-09-03 | 2021-10-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-09-08 | 2021-10-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-08 | 2021-10-08 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-09-08 | 2021-10-08 | 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 | 2021-09-08 | 2021-10-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-08 | 2021-10-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-08 | 2021-10-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-08 | 2021-10-08 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2021-09-03 | 2021-09-17 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-09-03 | 2021-09-17 | N |
| Develop a communication plan. | Fire Safety | 2021-09-03 | 2021-09-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-09-03 | 2021-09-17 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-09-03 | 2021-09-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-09-03 | 2021-09-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-03 | 2021-09-17 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-09-03 | 2021-09-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-09-03 | 2021-09-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-03 | 2021-09-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-03 | 2021-09-16 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-09-03 | 2021-09-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-03 | 2021-09-15 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-09-03 | 2021-09-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-10-14 | 2020-11-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-14 | 2020-11-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-10-14 | 2020-11-13 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-01-15 | 2020-02-05 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2020-01-15 | 2020-02-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-01-15 | 2020-02-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-15 | 2020-02-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-15 | 2020-02-05 | 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 | 2020-01-15 | 2020-02-05 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2020-01-15 | 2020-02-05 | N |
| Use approved construction type or materials. | Fire Safety | 2020-01-15 | 2020-01-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-01-15 | 2020-01-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-15 | 2020-01-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-01-15 | 2020-01-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-15 | 2020-01-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-01-15 | 2020-01-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-15 | 2020-01-15 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-10-11 | 2018-11-10 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-10-11 | 2018-11-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-11 | 2018-11-10 | 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 | 2018-10-11 | 2018-11-10 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-10-11 | 2018-11-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-10-11 | 2018-11-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-10-11 | 2018-11-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-11 | 2018-11-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-11 | 2018-11-10 | 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 | 2018-10-11 | 2018-11-10 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-10-11 | 2018-11-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-11 | 2018-11-10 | N |
| Use approved construction type or materials. | Fire Safety | 2018-10-11 | 2018-10-24 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-10-11 | 2018-10-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-11 | 2018-10-24 | N |
