Deficiency Records for Sixteen Acres Healthcare Center
Updated as of November 01, 2017
This is not the most recent data for Sixteen Acres Healthcare Center. For the most recent information, click here.
A list of the most recent deficiencies for Sixteen Acres Healthcare Center. 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? |
|---|---|---|---|---|
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-04-19 | 2017-05-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-04-19 | 2017-05-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-04-19 | 2017-05-30 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-19 | 2017-05-30 | Y |
| Keep all essential equipment working safely. | Health | 2017-04-19 | 2017-05-30 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-04-19 | 2017-05-30 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-04-19 | 2017-05-30 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-11-08 | 2016-12-16 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-11-08 | 2016-12-16 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-11-08 | 2016-12-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-11-08 | 2016-12-16 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-11-08 | 2016-12-16 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-11-08 | 2016-12-16 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-11-08 | 2016-12-16 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-11-08 | 2016-12-16 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-11-08 | 2016-12-16 | N |
| 1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe | Health | 2016-11-08 | 2016-12-16 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-11-08 | 2016-12-16 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-02-18 | 2016-03-31 | Y |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2015-08-17 | 2015-09-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-08-17 | 2015-09-30 | N |
| Provide residents with private access to a telephone. | Health | 2015-08-17 | 2015-09-30 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2015-08-17 | 2015-09-30 | N |
| Provide housekeeping and maintenance services. | Health | 2015-08-17 | 2015-09-30 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-08-17 | 2015-09-30 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-08-17 | 2015-09-30 | N |
| Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. | Health | 2015-08-17 | 2015-09-30 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-08-17 | 2015-09-30 | N |
| Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | Health | 2015-08-17 | 2015-09-30 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-08-17 | 2015-09-30 | N |
| Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. | Health | 2015-08-17 | 2015-09-30 | 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 | 2015-08-17 | 2015-09-30 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2015-08-17 | 2015-09-30 | N |
| Make sure that all required doctor visits are made personally. | Health | 2015-08-17 | 2015-09-30 | N |
| Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2015-08-17 | 2015-09-30 | N |
| Provide or obtain dental services for each resident. | Health | 2015-08-17 | 2015-09-30 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-08-17 | 2015-09-30 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2015-04-14 | 2015-06-08 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-01-12 | 2015-03-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-01-12 | 2015-03-20 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-06-11 | 2014-07-28 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-06-11 | 2014-07-28 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-06-11 | 2014-07-28 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-06-11 | 2014-07-28 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-06-11 | 2014-07-28 | N |
