Deficiency Records for Helen Newberry Joy Hltcu Golden Leaves Living Ctr
Updated as of October 01, 2019
This is not the most recent data for Helen Newberry Joy Hltcu Golden Leaves Living Ctr. For the most recent information, click here.
A list of the most recent deficiencies for Helen Newberry Joy Hltcu Golden Leaves Living Ctr. 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? |
|---|---|---|---|---|
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-07-23 | 2019-08-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-23 | 2019-08-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-23 | 2019-08-20 | 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 | 2019-07-23 | 2019-08-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-07-23 | 2019-08-20 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-07-23 | 2019-08-20 | 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 | 2019-07-23 | 2019-08-20 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-07-23 | 2019-08-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-07-23 | 2019-08-20 | Y |
| 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 | Health | 2019-07-23 | 2019-08-20 | Y |
| 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 | 2019-07-23 | 2019-08-20 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-16 | 2019-07-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-16 | 2019-07-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-16 | 2019-07-26 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-07-16 | 2019-07-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-02-20 | 2019-04-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-10-17 | 2018-11-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-10-17 | 2018-11-14 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-10-17 | 2018-11-14 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-10-17 | 2018-11-14 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2018-10-17 | 2018-11-14 | Y |
| 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 | 2018-10-17 | 2018-11-14 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2018-10-17 | 2018-11-14 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-11 | 2018-11-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-09-11 | 2018-10-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-09-06 | 2018-10-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-06 | 2018-10-15 | 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 | 2018-09-06 | 2018-10-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-06 | 2018-10-15 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2018-09-06 | 2018-10-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-09-06 | 2018-10-15 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-09-11 | 2018-10-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-09-27 | 2018-09-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-09-27 | 2018-09-27 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-09-11 | 2018-09-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-03 | 2018-06-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-04-04 | 2018-05-13 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2017-06-01 | 2017-07-21 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-06-01 | 2017-07-19 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-06-01 | 2017-07-19 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-06-02 | 2017-07-18 | 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 | 2017-06-02 | 2017-07-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-06-02 | 2017-07-18 | 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 | 2017-06-02 | 2017-07-17 | N |
| 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 | 2017-06-02 | 2017-07-17 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-02 | 2017-07-17 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-02 | 2017-07-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-02 | 2017-07-17 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2017-06-02 | 2017-07-17 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2017-06-01 | 2017-06-15 | 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 | 2017-04-05 | 2017-05-14 | 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 | 2017-04-05 | 2017-05-14 | Y |
