A list of the most recent deficiencies for Hopkins Health Services. 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-09-13 | 2023-10-27 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-20 | 2023-03-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-20 | 2023-03-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-20 | 2023-03-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-20 | 2023-03-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-12-20 | 2023-03-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-12-20 | 2023-02-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-21 | 2023-01-26 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-12-21 | 2023-01-26 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-12-21 | 2023-01-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-21 | 2023-01-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-21 | 2023-01-26 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2022-12-21 | 2023-01-26 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-12-21 | 2023-01-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-21 | 2023-01-26 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2022-12-21 | 2023-01-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-21 | 2023-01-26 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-12-21 | 2023-01-26 | N |
| Keep all essential equipment working safely. | Health | 2022-12-21 | 2023-01-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-21 | 2023-01-26 | Y |
| 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 | 2022-12-20 | 2023-01-11 | 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 | 2022-12-20 | 2023-01-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-20 | 2023-01-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-20 | 2023-01-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-20 | 2023-01-11 | N |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2022-03-03 | 2022-04-08 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-03-03 | 2022-04-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-29 | 2022-03-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-13 | 2022-02-08 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-11-22 | 2021-12-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-30 | 2021-09-27 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-05-03 | 2021-06-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-03 | 2021-06-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-28 | 2020-03-26 | N |
| Respond appropriately to all alleged violations. | Health | 2020-02-28 | 2020-03-26 | 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 | 2020-02-28 | 2020-03-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-28 | 2020-03-26 | 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 | 2020-02-28 | 2020-03-26 | 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 | 2020-02-28 | 2020-03-26 | N |
| Provide or obtain dental services for each resident. | Health | 2020-02-28 | 2020-03-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-28 | 2020-03-26 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-02-28 | 2020-03-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-03 | 2020-03-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-03-21 | 2019-06-06 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-03-21 | 2019-06-06 | N |
| Respond appropriately to all alleged violations. | Health | 2019-03-21 | 2019-06-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-03-21 | 2019-05-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-21 | 2019-04-30 | 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 | 2019-03-21 | 2019-04-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-03-21 | 2019-04-30 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-03-21 | 2019-04-30 | 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 | 2019-03-21 | 2019-04-30 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-03-21 | 2019-04-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-21 | 2019-04-30 | N |
| Provide activities to meet all resident's needs. | Health | 2019-03-21 | 2019-04-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-21 | 2019-04-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-03-21 | 2019-04-30 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-03-21 | 2019-04-30 | 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 | 2019-03-21 | 2019-04-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-21 | 2019-04-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-21 | 2019-04-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-03-21 | 2019-04-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-03-21 | 2019-04-30 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-03-20 | 2019-04-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-21 | 2019-04-21 | 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 | 2019-03-20 | 2019-04-20 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-03-20 | 2019-04-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-20 | 2019-04-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-20 | 2019-04-20 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2019-03-20 | 2019-04-20 | N |
