Deficiency Records for Jefferson Healthcare Center

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Updated as of April 01, 2024

A list of the most recent deficiencies for Jefferson Healthcare 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?
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-11-16 2023-12-14 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-11-16 2023-12-14 Y
Respond appropriately to all alleged violations. Health 2023-11-16 2023-12-14 Y
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2023-11-16 2023-12-14 Y
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 2023-11-16 2023-12-14 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-09-20 2023-10-19 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-09-20 2023-10-19 Y
Assist a resident in gaining access to vision and hearing services. Health 2023-08-23 2023-09-17 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-07-26 2023-08-19 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-07-26 2023-08-19 Y
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 2023-05-24 2023-06-26 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-05-24 2023-06-26 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-05-24 2023-06-26 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2023-05-24 2023-06-26 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-05-24 2023-06-26 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-05-24 2023-06-26 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 2023-05-24 2023-06-26 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2023-05-24 2023-06-26 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-05-24 2023-06-26 N
Provide and implement an infection prevention and control program. Health 2023-05-24 2023-06-26 N
Provide properly protected cooking facilities. Fire Safety 2023-05-23 2023-06-26 N
Respond appropriately to all alleged violations. Health 2023-02-16 2023-03-06 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-01-25 2023-02-13 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2023-01-25 2023-02-13 Y
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2023-01-25 2023-02-13 Y
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-01-25 2023-02-13 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-12-14 2023-01-06 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-10-20 2022-11-15 Y
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2022-10-20 2022-11-15 Y
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Health 2022-08-31 2022-09-19 Y
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 2022-08-31 2022-09-19 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-08-31 2022-09-19 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-08-31 2022-09-19 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-04 2022-09-19 Y
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 2022-08-04 2022-09-19 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2022-08-04 2022-09-19 Y
Provide and implement an infection prevention and control program. Health 2022-08-04 2022-09-19 Y
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2022-08-04 2022-09-19 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-02-23 2022-04-01 Y
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-03-08 2022-04-01 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2022-03-08 2022-04-01 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-04-14 2021-05-07 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-04-14 2021-05-07 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 2021-04-13 2021-05-07 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-04-13 2021-05-07 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-04-13 2021-05-07 N