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Deficiency Records for The Nicol Home
View the most recent health deficiencies and inspection results for The Nicol Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Nicol Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-07-31 | 2024-09-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-31 | 2024-09-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-31 | 2024-09-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-31 | 2024-09-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-31 | 2024-08-31 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-07-31 | 2024-08-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-31 | 2024-08-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-31 | 2024-08-31 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-07-31 | 2024-08-31 | 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 | 2024-07-31 | 2024-08-31 | 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 | 2024-07-31 | 2024-08-31 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-07-31 | 2024-08-31 | Y |
| Implement a program that monitors antibiotic use. | Health | 2024-07-31 | 2024-08-31 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-02 | 2022-11-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-02 | 2022-11-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-02 | 2022-11-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-02 | 2022-11-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-02 | 2022-11-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-02 | 2022-11-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-08-02 | 2022-11-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-02 | 2022-11-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-08-02 | 2022-11-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-02 | 2022-11-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-02 | 2022-11-10 | N |
| Use approved construction type or materials. | Fire Safety | 2022-08-02 | 2022-11-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-02 | 2022-08-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-02 | 2022-08-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-02 | 2022-08-31 | 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 | 2022-08-02 | 2022-08-31 | 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 | 2022-08-02 | 2022-08-31 | 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 | 2022-08-02 | 2022-08-31 | 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 | 2022-08-02 | 2022-08-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-08-02 | 2022-08-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-31 | 2021-04-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-03-31 | 2021-04-22 | 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 | 2021-03-31 | 2021-04-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-03-31 | 2021-04-22 | 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 | 2021-03-31 | 2021-04-22 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-03-31 | 2021-04-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-03-31 | 2021-02-26 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-03-31 | 2021-02-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-03-31 | 2021-02-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-03-31 | 2021-02-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-03-31 | 2021-02-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-31 | 2021-02-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-31 | 2021-02-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-31 | 2021-02-26 | 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 | 2021-03-31 | 2021-02-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-03-31 | 2021-02-26 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-03-31 | 2021-02-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-31 | 2021-02-02 | N |