Deficiency Records for Lorien Health Systems Mt Airy
Updated as of September 01, 2018
This is not the most recent data for Lorien Health Systems Mt Airy. For the most recent information, click here.
A list of the most recent deficiencies for Lorien Health Systems Mt Airy. 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? |
---|---|---|---|---|
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2017-12-08 | 2018-01-26 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2017-12-08 | 2018-01-26 | N |
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2017-12-08 | 2018-01-26 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-12-08 | 2018-01-26 | N |
Keep residents' personal and medical records private and confidential. | Health | 2017-12-08 | 2018-01-26 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2017-12-08 | 2018-01-26 | N |
Ensure each resident receives an accurate assessment. | Health | 2017-12-08 | 2018-01-26 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-08 | 2018-01-26 | 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 | 2017-12-08 | 2018-01-26 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2017-12-08 | 2018-01-26 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2017-12-08 | 2018-01-26 | 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 | 2017-12-08 | 2018-01-26 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2017-12-08 | 2018-01-26 | 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 | 2017-12-08 | 2018-01-26 | N |
Provide or obtain dental services for each resident. | Health | 2017-12-08 | 2018-01-26 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2017-12-08 | 2018-01-26 | 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 | 2017-12-11 | 2018-01-05 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2017-12-11 | 2018-01-05 | N |
Install properly constructed windows in hallway walls or doors. | Fire Safety | 2017-12-11 | 2018-01-05 | N |
Have an externally vented heating system. | Fire Safety | 2017-12-11 | 2018-01-05 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2017-12-11 | 2018-01-05 | N |
Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2017-12-11 | 2018-01-05 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2017-12-11 | 2018-01-05 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-05-11 | 2017-05-18 | Y |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-05-11 | 2017-05-18 | Y |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-05-11 | 2017-05-18 | Y |
Provide housekeeping and maintenance services. | Health | 2016-12-09 | 2017-03-03 | N |
Keep all essential equipment working safely. | Health | 2016-12-09 | 2017-02-09 | N |
Meet other general requirements. | Fire Safety | 2016-12-15 | 2017-02-03 | N |
Have exits that are accessible at all times. | Fire Safety | 2016-12-15 | 2017-02-03 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2016-12-15 | 2017-02-03 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2016-12-15 | 2017-02-03 | N |
Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2016-12-15 | 2017-02-03 | N |
Ensure proper storage of liquid oxygen. | Fire Safety | 2016-12-15 | 2017-02-03 | N |
Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-12-09 | 2017-01-31 | 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 | 2016-12-09 | 2017-01-31 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2016-12-09 | 2017-01-31 | 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 | 2016-12-09 | 2017-01-31 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-12-09 | 2017-01-31 | N |
Give or get x-rays and other tests in a timely manner to meet the needs of residents. | Health | 2016-12-09 | 2017-01-31 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-12-09 | 2016-12-31 | N |
Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-10-31 | 2016-11-22 | Y |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-10-31 | 2016-11-22 | Y |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-10-31 | 2016-11-22 | Y |
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 | 2015-10-01 | 2015-11-11 | Y |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-10-01 | 2015-11-11 | Y |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-10-01 | 2015-11-11 | Y |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-10-01 | 2015-11-11 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-10-01 | 2015-11-11 | Y |
Post nurse staffing information/data on a daily basis. | Health | 2015-10-01 | 2015-11-11 | Y |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-10-01 | 2015-11-11 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-10-01 | 2015-11-11 | Y |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-09-24 | 2015-10-30 | N |
Weekly inspections and monthly testing of generators. | Fire Safety | 2015-09-24 | 2015-10-30 | N |