A list of the most recent deficiencies for Hoyt Nursing and Rehab Centre. 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-14 | 2023-07-11 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-06-14 | 2023-07-11 | 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 | 2023-06-14 | 2023-07-11 | 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 | 2023-06-14 | 2023-07-11 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-06-14 | 2023-07-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-14 | 2023-07-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-08 | 2023-07-11 | N |
| Provide large enough exits. | Fire Safety | 2023-06-08 | 2023-07-11 | N |
| Conform to length requirements for dead end corridors. | Fire Safety | 2023-06-08 | 2023-07-11 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-06-08 | 2023-07-11 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-06-08 | 2023-07-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-06-08 | 2023-07-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-08 | 2023-07-11 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-03-23 | 2022-04-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-23 | 2022-04-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-23 | 2022-04-26 | 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 | 2022-03-23 | 2022-04-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-23 | 2022-04-26 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-03-23 | 2022-04-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-23 | 2022-04-26 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-03-23 | 2022-04-26 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-03-22 | 2022-04-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-03-22 | 2022-04-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-22 | 2022-04-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-22 | 2022-04-19 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-16 | 2022-04-08 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-03-05 | 2021-03-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-05 | 2021-03-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-10-29 | 2019-12-03 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-10-29 | 2019-12-03 | 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 | 2019-10-29 | 2019-12-03 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-10-29 | 2019-12-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-29 | 2019-12-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-29 | 2019-12-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-29 | 2019-12-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-29 | 2019-12-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-29 | 2019-12-03 | 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 | 2019-10-29 | 2019-12-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-29 | 2019-12-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-10-29 | 2019-12-03 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-10-29 | 2019-12-03 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-10-29 | 2019-12-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-29 | 2019-12-03 | 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 | 2019-10-29 | 2019-12-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-29 | 2019-12-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-29 | 2019-12-03 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-10-29 | 2019-12-03 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-10-29 | 2019-12-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-29 | 2019-12-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-29 | 2019-12-03 | N |
