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Deficiency Records for Havenwood Care Center
View the most recent health deficiencies and inspection results for Havenwood Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Havenwood Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2026-04-29 | 2026-06-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-04-29 | 2026-06-12 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2026-04-29 | 2026-06-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-04-29 | 2026-06-12 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-04-29 | 2026-06-12 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2026-04-29 | 2026-06-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-04-29 | 2026-06-12 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2026-04-29 | 2026-06-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-04-29 | 2026-06-12 | 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 | 2026-04-29 | 2026-06-12 | 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 | 2026-04-29 | 2026-06-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-04-29 | 2026-06-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-04-29 | 2026-06-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2026-04-29 | 2026-06-12 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2026-04-29 | 2026-06-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-16 | 2026-03-19 | Y |
| 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 | 2025-10-22 | 2025-12-22 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-10-22 | 2025-12-22 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-08-07 | 2025-08-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-07-17 | 2025-08-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-11 | 2025-07-14 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-02-12 | 2025-03-31 | 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 | 2025-02-12 | 2025-03-31 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2025-02-12 | 2025-03-31 | 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 | 2025-02-12 | 2025-03-31 | N |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2025-02-12 | 2025-03-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-12 | 2025-03-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-12 | 2025-03-31 | 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 | 2025-02-12 | 2025-03-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-02-12 | 2025-03-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-02-12 | 2025-03-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-12 | 2025-03-31 | 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 | 2025-02-12 | 2025-03-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-02-12 | 2025-03-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-02-12 | 2025-03-31 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2025-02-12 | 2025-03-31 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2025-02-12 | 2025-03-31 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2025-02-12 | 2025-03-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-02-12 | 2025-03-31 | 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 | 2025-02-12 | 2025-03-31 | 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 | 2025-02-12 | 2025-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-12 | 2025-03-31 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-02-12 | 2025-03-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-02-12 | 2025-03-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-02-12 | 2025-03-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-02-12 | 2025-03-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-02-12 | 2025-03-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-04 | 2024-07-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-04 | 2024-07-01 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-05-09 | 2024-06-15 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-04-05 | 2024-05-10 | N |
| Respond appropriately to all alleged violations. | Health | 2024-04-05 | 2024-05-10 | 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 | 2024-04-05 | 2024-05-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-04-05 | 2024-05-10 | 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 | 2024-04-05 | 2024-05-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-05 | 2024-05-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-05 | 2024-05-10 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-04-05 | 2024-05-10 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2024-04-05 | 2024-05-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-04-05 | 2024-05-10 | 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 | 2024-04-05 | 2024-05-10 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-04-05 | 2024-05-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-05 | 2024-05-10 | Y |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2024-04-05 | 2024-05-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-04-05 | 2024-05-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-05 | 2024-05-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-05 | 2024-05-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-05 | 2024-04-26 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2024-04-05 | 2024-04-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-05 | 2024-04-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-05 | 2024-04-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-12-04 | 2023-12-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-21 | 2023-10-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-06 | 2023-09-28 | Y |