A list of the most recent deficiencies for Hutchinson Operator, LLC. 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 and appropriate respiratory care for a resident when needed. | Health | 2023-08-02 | 2023-08-10 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-08-02 | 2023-08-10 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-08-02 | 2023-08-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-20 | 2023-05-11 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-09-22 | 2022-10-22 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-09-22 | 2022-10-22 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-09-22 | 2022-10-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-22 | 2022-10-22 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-09-22 | 2022-10-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-22 | 2022-10-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-22 | 2022-10-22 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-09-22 | 2022-10-22 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-09-22 | 2022-10-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-22 | 2022-10-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-09-22 | 2022-10-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-09-22 | 2022-10-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-22 | 2022-10-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-22 | 2022-10-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-12 | 2022-09-23 | 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 | 2022-08-12 | 2022-09-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-12 | 2022-09-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-12 | 2022-09-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-12 | 2022-09-23 | Y |
| 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 | 2022-08-12 | 2022-09-23 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-08-12 | 2022-09-23 | Y |
| 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 | 2022-08-12 | 2022-09-23 | Y |
| 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 | 2022-08-12 | 2022-09-23 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-12 | 2022-09-23 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-08-12 | 2022-09-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-12 | 2022-09-23 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-12 | 2022-09-23 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-05-11 | 2021-06-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-11 | 2021-06-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-11 | 2021-06-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-11 | 2021-06-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-05-11 | 2021-06-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-11 | 2021-06-11 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-03-17 | 2021-04-23 | 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 | 2021-03-17 | 2021-04-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-17 | 2021-04-23 | 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 | 2021-03-17 | 2021-04-23 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-03-17 | 2021-04-23 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-07-31 | 2019-08-28 | 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 | 2019-07-31 | 2019-08-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-31 | 2019-08-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-31 | 2019-08-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-31 | 2019-08-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-31 | 2019-08-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-07-31 | 2019-08-28 | 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 | 2019-07-31 | 2019-08-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-31 | 2019-08-28 | N |
| Keep all essential equipment working safely. | Health | 2019-07-31 | 2019-08-28 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Develop a communication plan. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Establish methods for sharing information. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-11-29 | 2018-12-28 | 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 | 2018-11-29 | 2018-12-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-29 | 2018-12-28 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-06-29 | Not Fixed | N |
