Deficiency Records for Russell Regional Hospital Ltcu
Updated as of November 01, 2022
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? |
|---|---|---|---|---|
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-06-27 | 2022-08-14 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-06-27 | 2022-08-14 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2022-06-27 | 2022-08-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-27 | 2022-08-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-27 | 2022-08-14 | 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 | 2022-06-27 | 2022-08-14 | 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 | 2022-06-27 | 2022-08-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-27 | 2022-08-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-17 | 2021-07-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-17 | 2021-07-15 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-03-06 | 2020-04-17 | 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 | 2020-03-06 | 2020-04-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-06 | 2020-04-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-03-06 | 2020-04-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-03-06 | 2020-04-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-03-06 | 2020-04-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-06 | 2020-04-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-03-06 | 2020-04-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-06 | 2020-04-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-10 | 2019-05-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-10 | 2019-04-26 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-01-04 | 2019-01-31 | 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 | 2019-01-04 | 2019-01-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-01-04 | 2019-01-14 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-01-04 | 2019-01-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-04 | 2019-01-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-04 | 2019-01-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-01-04 | 2019-01-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-04 | 2019-01-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-04 | 2019-01-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-04 | 2019-01-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-01-04 | 2019-01-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-01-04 | 2019-01-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-01-04 | 2019-01-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-04 | 2019-01-04 | N |
| 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 |
| 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 |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 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 |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | 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 |
