Deficiency Records for Phillips County Retirement Center
Updated as of October 01, 2019
This is not the most recent data for Phillips County Retirement Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Be properly staffed | 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 |
| 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 | 2018-05-17 | 2018-06-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-05-17 | 2018-06-15 | 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 | 2018-05-17 | 2018-06-15 | 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 | 2018-05-17 | 2018-06-15 | 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 ne | Health | 2018-05-17 | 2018-06-15 | N |
| 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 | 2018-05-17 | 2018-06-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-17 | 2018-06-15 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-05-17 | 2018-06-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-11-03 | 2017-11-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-11-03 | 2017-11-28 | 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 | 2017-11-03 | 2017-11-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-11-03 | 2017-11-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-11-03 | 2017-11-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-11-03 | 2017-11-28 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2017-11-03 | 2017-11-28 | N |
| Try to resolve each resident's complaints quickly. | Health | 2016-09-29 | 2016-10-28 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-09-29 | 2016-10-28 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-09-29 | 2016-10-28 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-09-29 | 2016-10-28 | 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 | 2016-09-29 | 2016-10-28 | N |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2016-09-29 | 2016-10-28 | 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 | 2016-09-29 | 2016-10-28 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-09-29 | 2016-10-28 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-06-08 | 2016-06-09 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-06-08 | 2016-06-09 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-06-08 | 2016-06-09 | N |
