A list of the most recent deficiencies for Highview of Northampton. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-24 | 2023-11-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-24 | 2023-08-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-24 | 2023-08-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-24 | 2023-08-31 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-07-24 | 2023-08-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-24 | 2023-08-31 | 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 | 2023-07-24 | 2023-08-31 | 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 | 2023-07-24 | 2023-08-31 | 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 | 2023-07-24 | 2023-08-31 | N |
| Provide or obtain dental services for each resident. | Health | 2023-07-24 | 2023-08-31 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-07-24 | 2023-08-31 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-07-24 | 2023-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-24 | 2023-08-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-07-24 | 2023-08-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-03 | 2023-08-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-02 | 2023-08-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-23 | 2023-06-30 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-05-23 | 2023-06-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-23 | 2023-06-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-23 | 2023-06-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-27 | 2023-05-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-27 | 2023-05-26 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-04-27 | 2023-05-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-16 | 2023-04-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-21 | 2023-04-03 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-12-20 | 2022-12-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-15 | 2022-12-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-15 | 2022-12-02 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2022-02-14 | 2022-05-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-14 | 2022-05-09 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-02-14 | 2022-04-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-14 | 2022-03-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-14 | 2022-03-25 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-02-14 | 2022-03-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-14 | 2022-03-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-02-14 | 2022-03-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-02-14 | 2022-03-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-14 | 2022-03-25 | 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 | 2022-02-14 | 2022-03-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-14 | 2022-03-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-14 | 2022-03-25 | 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 | 2022-02-14 | 2022-03-25 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-02-14 | 2022-03-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-02-14 | 2022-03-25 | 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 | 2022-02-14 | 2022-03-25 | 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 | 2022-02-14 | 2022-03-25 | 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 | 2022-02-14 | 2022-03-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-14 | 2022-03-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-14 | 2022-03-25 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-02-14 | 2022-03-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-02-14 | 2022-03-25 | N |
| Report COVID19 data to residents and families. | Health | 2022-02-14 | 2022-03-25 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-02-14 | 2022-03-25 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-02-14 | 2022-03-25 | 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 | 2022-02-14 | 2022-03-18 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-02-23 | 2022-03-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-23 | 2022-03-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-19 | 2021-11-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-19 | 2021-11-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-19 | 2021-11-26 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-10-04 | 2021-11-15 | Y |
| 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 | 2021-10-04 | 2021-11-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-04 | 2021-11-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-25 | 2021-06-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-25 | 2021-06-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-03-10 | 2021-04-19 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-03-10 | 2021-04-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-03-10 | 2021-04-19 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-03-16 | 2021-04-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-03-16 | 2021-04-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-03-16 | 2021-04-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-16 | 2021-04-19 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-03-16 | 2021-04-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-03-16 | 2021-04-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-03-16 | 2021-04-19 | 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 | 2021-03-16 | 2021-04-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-03-16 | 2021-04-19 | N |
| Provide or obtain dental services for each resident. | Health | 2021-03-16 | 2021-04-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-16 | 2021-04-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-16 | 2021-04-19 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-03-16 | 2021-04-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-03-16 | 2021-04-19 | N |
