A list of the most recent deficiencies for Queen Anne Nursing Home, Inc. 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? |
---|---|---|---|---|
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-01 | 2023-12-11 | Y |
Ensure that residents are free from significant medication errors. | Health | 2023-11-01 | 2023-12-11 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-01 | 2023-12-11 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-14 | 2023-03-30 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-14 | 2023-03-30 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-14 | 2023-03-30 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-14 | 2023-03-30 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-14 | 2023-03-30 | 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 | 2023-02-14 | 2023-03-30 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-14 | 2023-03-30 | N |
Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-02-14 | 2023-03-30 | N |
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 | 2023-02-14 | 2023-03-30 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-02-14 | 2023-03-30 | 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 | 2023-02-14 | 2023-03-30 | 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 | 2023-02-14 | 2023-03-30 | N |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2023-02-14 | 2023-03-30 | N |
Provide and implement an infection prevention and control program. | Health | 2023-02-14 | 2023-03-30 | N |
Perform COVID19 testing on residents and staff. | Health | 2023-02-14 | 2023-03-30 | N |
Have a Compliance and Ethics Program. | Health | 2023-02-14 | 2023-03-30 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-17 | 2022-06-25 | Y |