A list of the most recent deficiencies for Central Health Care Center. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-01-04 | 2024-03-02 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-01-04 | 2024-03-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-01-04 | 2024-03-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-03 | 2024-01-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-03 | 2024-01-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-03 | 2024-01-26 | 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 | 2024-01-04 | 2024-01-18 | N |
| 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 | 2024-01-04 | 2024-01-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-04 | 2024-01-18 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2024-01-04 | 2024-01-05 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-08-03 | 2023-08-28 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-08-03 | 2023-08-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-03 | 2023-08-18 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-08-03 | 2023-08-10 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-03 | 2023-08-03 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-29 | 2023-06-01 | 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 | 2023-03-30 | 2023-05-12 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-03-30 | 2023-05-12 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-30 | 2023-05-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-30 | 2023-05-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-03-30 | 2023-05-12 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-03-30 | 2023-05-12 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-03-30 | 2023-05-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-30 | 2023-05-12 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-29 | 2023-05-12 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-03-29 | 2023-05-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-29 | 2023-05-12 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-03-29 | 2023-05-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-29 | 2023-05-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-29 | 2023-05-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-29 | 2023-05-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-29 | 2023-05-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-29 | 2023-05-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-29 | 2023-05-12 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-03-30 | 2023-05-12 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-30 | 2023-05-12 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-03-30 | 2023-05-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-28 | 2022-02-18 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-01-28 | 2022-02-18 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-02-03 | 2021-03-19 | 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 | 2021-02-03 | 2021-03-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-02-03 | 2021-02-26 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-02-03 | 2021-02-24 | 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 | 2021-02-03 | 2021-02-18 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-02-03 | 2021-02-17 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-02-03 | 2021-02-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-03 | 2021-02-04 | 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 | 2021-02-03 | 2021-02-03 | N |
