A list of the most recent deficiencies for Gorham House. 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? |
|---|---|---|---|---|
| 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 | 2023-03-29 | 2023-05-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-29 | 2023-05-08 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-03-29 | 2023-05-08 | 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 | 2023-03-29 | 2023-05-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-29 | 2023-05-08 | N |
| Post nurse staffing information every day. | Health | 2023-03-29 | 2023-05-08 | 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 | 2023-03-29 | 2023-05-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-29 | 2023-05-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-29 | 2023-05-08 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-03-27 | 2023-05-08 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-03-27 | 2023-05-08 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-03-27 | 2023-05-08 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-03-27 | 2023-05-08 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-03-27 | 2023-05-08 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-03-27 | 2023-05-08 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-03-27 | 2023-05-08 | N |
| Develop a communication plan. | Fire Safety | 2023-03-27 | 2023-05-08 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-03-27 | 2023-05-08 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-03-27 | 2023-05-08 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-03-27 | 2023-05-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-27 | 2023-05-08 | N |
| Use approved construction type or materials. | Fire Safety | 2023-03-27 | 2023-05-08 | 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 | 2023-03-27 | 2023-05-08 | N |
| 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 | 2023-03-27 | 2023-05-08 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-03-27 | 2023-05-08 | 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 | 2023-03-27 | 2023-05-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-27 | 2023-05-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-27 | 2023-05-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-27 | 2023-05-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-27 | 2023-05-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-27 | 2023-05-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-27 | 2023-05-08 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-03-27 | 2023-05-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-27 | 2023-05-08 | 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 | 2020-03-12 | 2020-04-12 | N |
| Provide or obtain dental services for each resident. | Health | 2020-03-12 | 2020-04-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-03-12 | 2020-04-12 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2020-03-10 | 2020-03-20 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-04-10 | 2019-05-03 | 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 | 2019-04-10 | 2019-05-03 | 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 | 2019-04-10 | 2019-05-03 | N |
