A list of the most recent deficiencies for Phillips County Retirement Center. 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? |
|---|---|---|---|---|
| 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 | 2022-08-16 | 2022-08-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-16 | 2022-08-25 | 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 | 2022-08-16 | 2022-08-25 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-08-16 | 2022-08-25 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-08-16 | 2022-08-25 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-06-16 | 2022-07-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-16 | 2022-07-08 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-06-16 | 2022-07-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-16 | 2022-07-08 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-06-16 | 2022-07-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-16 | 2022-07-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-16 | 2022-07-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-16 | 2022-07-08 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-06-16 | 2022-07-08 | 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 | 2022-06-16 | 2022-07-08 | 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 | 2022-06-16 | 2022-07-08 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-06-16 | 2022-07-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-16 | 2022-07-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-10-14 | 2020-10-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-14 | 2020-10-30 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-10-14 | 2020-10-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-10-14 | 2020-10-23 | 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 | 2020-10-14 | 2020-10-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-03-13 | 2020-03-21 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2020-03-13 | 2020-03-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-03-13 | 2020-03-21 | 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 | 2020-03-13 | 2020-03-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-03-13 | 2020-03-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-03-13 | 2020-03-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-13 | 2020-03-21 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-04-25 | 2019-05-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-25 | 2019-05-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-25 | 2019-05-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-25 | 2019-05-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-25 | 2019-05-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-04-25 | 2019-05-01 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-12-27 | 2019-01-09 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-12-27 | 2019-01-09 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2018-12-27 | 2019-01-09 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-12-27 | 2019-01-09 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-12-27 | 2019-01-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-12-27 | 2019-01-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-12-27 | 2019-01-09 | 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 | 2018-12-27 | 2019-01-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-27 | 2019-01-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-12-27 | 2019-01-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-12-27 | 2019-01-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-12-27 | 2019-01-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-12-27 | 2019-01-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-27 | 2019-01-09 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-12-27 | 2019-01-09 | N |
