Deficiency Records for Norwood Healthcare
Updated as of February 01, 2022
This is not the most recent data for Norwood Healthcare. For the most recent information, click here.
A list of the most recent deficiencies for Norwood 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-04 | 2019-12-18 | 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 | 2019-09-04 | 2019-12-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-09-04 | 2019-12-17 | 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 | 2019-09-04 | 2019-12-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-04 | 2019-12-17 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-09-04 | 2019-12-17 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-09-04 | 2019-12-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-04 | 2019-12-17 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2019-09-04 | 2019-12-17 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2019-09-04 | 2019-11-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-09-04 | 2019-11-04 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-09-04 | 2019-11-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-09-04 | 2019-11-04 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-09-04 | 2019-11-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-04 | 2019-11-04 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-09-04 | 2019-11-04 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-09-04 | 2019-11-04 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-09-04 | 2019-11-04 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-09-04 | 2019-11-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-09-04 | 2019-11-04 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-09-04 | 2019-11-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-09-04 | 2019-11-04 | 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 | 2019-09-04 | 2019-11-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-09-04 | 2019-11-04 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-09-04 | 2019-11-04 | 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 | 2019-09-04 | 2019-11-04 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-09-04 | 2019-11-04 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-09-04 | 2019-11-04 | 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 | 2019-09-04 | 2019-11-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-04 | 2019-11-04 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-09-04 | 2019-11-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-04 | 2019-11-04 | N |
| Keep all essential equipment working safely. | Health | 2019-09-04 | 2019-11-04 | N |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2019-09-04 | 2019-11-04 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-09-04 | 2019-11-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-02-06 | 2019-03-22 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-02-06 | 2019-03-22 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-09-07 | 2018-10-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-07 | 2018-10-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-09-07 | 2018-09-28 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-09-07 | 2018-09-28 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-09-07 | 2018-09-28 | 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 | 2018-09-07 | 2018-09-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-09-07 | 2018-09-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-09-07 | 2018-09-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-07 | 2018-09-28 | 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 | 2018-09-07 | 2018-09-28 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-09-07 | 2018-09-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-07 | 2018-09-28 | 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 | 2018-09-07 | 2018-09-28 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-09-07 | 2018-09-28 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-09-07 | 2018-09-28 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2018-09-07 | 2018-09-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-07 | 2018-09-28 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-09-07 | 2018-09-28 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-09-07 | 2018-09-28 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-05-08 | 2017-06-14 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-05-08 | 2017-06-14 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-08 | 2017-06-14 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-05-08 | 2017-06-05 | N |
| 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 | 2017-05-08 | 2017-06-02 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-05-08 | 2017-06-02 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-05-08 | 2017-06-02 | N |
