A list of the most recent deficiencies for Plymouth Harborside Healthcare. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-14 | 2023-12-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-14 | 2023-12-06 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2023-08-30 | 2023-10-23 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-08-30 | 2023-10-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-30 | 2023-10-23 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-10-11 | 2023-10-21 | 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 | 2023-10-11 | 2023-10-21 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-09-11 | 2023-10-20 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-09-11 | 2023-10-20 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-09-11 | 2023-10-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-11 | 2023-10-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-11 | 2023-10-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-11 | 2023-10-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-30 | 2023-10-02 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-08-30 | 2023-10-02 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-30 | 2023-10-02 | 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 | 2023-08-30 | 2023-10-02 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-08-30 | 2023-10-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-30 | 2023-10-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-30 | 2023-10-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-30 | 2023-10-02 | 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 | 2023-08-30 | 2023-10-02 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-08-30 | 2023-10-02 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-08-30 | 2023-10-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-30 | 2023-10-02 | 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 | 2023-08-30 | 2023-10-02 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-30 | 2023-10-02 | 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 | 2023-08-30 | 2023-10-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-30 | 2023-10-02 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-30 | 2023-10-02 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-08-30 | 2023-10-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-17 | 2022-03-02 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-02-17 | 2022-03-02 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-03-18 | 2021-07-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-18 | 2021-07-01 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-03-18 | 2021-07-01 | 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 | 2021-03-18 | 2021-06-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-18 | 2021-06-04 | 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 | 2021-03-18 | 2021-06-04 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-03-18 | 2021-05-05 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2021-03-18 | 2021-05-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-03-18 | 2021-05-05 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-03-18 | 2021-05-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-03-18 | 2021-05-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-18 | 2021-05-05 | N |
| Respond appropriately to all alleged violations. | Health | 2021-03-18 | 2021-05-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-03-18 | 2021-05-05 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2021-03-18 | 2021-05-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-18 | 2021-05-05 | 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 | 2021-03-18 | 2021-05-05 | 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 | 2021-03-18 | 2021-05-05 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-03-18 | 2021-05-05 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-03-18 | 2021-05-05 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-05-16 | 2019-08-01 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-05-16 | 2019-08-01 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-05-16 | 2019-08-01 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-05-16 | 2019-08-01 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-05-16 | 2019-08-01 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-05-16 | 2019-08-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-05-16 | 2019-08-01 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-05-16 | 2019-08-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-05-16 | 2019-08-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-16 | 2019-08-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-16 | 2019-08-01 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-05-16 | 2019-08-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-16 | 2019-08-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-01 | 2019-05-24 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2019-04-01 | 2019-05-24 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-04-01 | 2019-05-24 | 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 | 2019-04-01 | 2019-05-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-01 | 2019-05-24 | 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 | 2019-04-01 | 2019-05-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-04-01 | 2019-05-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-01 | 2019-05-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-01 | 2019-05-24 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2019-04-01 | 2019-05-24 | 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 | 2019-04-01 | 2019-05-24 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-04-01 | 2019-05-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-01 | 2019-05-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-01 | 2019-05-24 | N |
