Deficiency Records for Russell Regional Hospital Ltcu
Updated as of April 01, 2019
This is not the most recent data for Russell Regional Hospital Ltcu. For the most recent information, click here.
A list of the most recent deficiencies for Russell Regional Hospital Ltcu. 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? |
|---|---|---|---|---|
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2018-06-12 | 2018-07-12 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-06-12 | 2018-07-12 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-01-04 | 2017-02-02 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-01-04 | 2017-02-02 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-01-04 | 2017-02-02 | N |
| Restrictions on the use of portable space heaters. | Fire Safety | 2016-09-26 | 2016-10-12 | N |
| Proper construction of ducts through walls designed to prevent smoke passage. | Fire Safety | 2016-09-26 | 2016-10-05 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-09-26 | 2016-09-30 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-09-26 | 2016-09-30 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-06-04 | 2015-07-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-02-21 | Not Fixed | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-02-21 | Not Fixed | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-02-21 | Not Fixed | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-02-21 | Not Fixed | N |
| Establish methods for sharing information. | Fire Safety | 2018-02-21 | Not Fixed | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-02-21 | Not Fixed | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-02-21 | Not Fixed | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-02-21 | Not Fixed | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-02-21 | Not Fixed | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-02-21 | Not Fixed | 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 | 2018-02-21 | Not Fixed | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-02-21 | Not Fixed | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-02-21 | Not Fixed | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-02-21 | Not Fixed | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-02-21 | Not Fixed | N |
| Be properly staffed | Fire Safety | 2018-02-21 | Not Fixed | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-02-21 | Not Fixed | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-02-21 | Not Fixed | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-02-21 | Not Fixed | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-02-21 | Not Fixed | N |
