A list of the most recent deficiencies for Assumption Home. 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 timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-11-01 | 2023-12-01 | 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 | 2023-11-01 | 2023-12-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-14 | 2023-03-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-11 | 2023-03-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-11 | 2023-03-02 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-01-19 | 2023-03-02 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-01-19 | 2023-03-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-01-19 | 2023-03-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-19 | 2023-03-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-19 | 2023-03-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-19 | 2023-03-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-19 | 2023-03-02 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-01-19 | 2023-03-02 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-01-19 | 2023-03-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-19 | 2023-03-02 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-01-19 | 2023-03-02 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-01-18 | 2023-02-06 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-01-18 | 2023-02-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-18 | 2022-11-09 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-08 | 2022-04-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-10 | 2022-04-15 | 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 | 2022-03-10 | 2022-04-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-10 | 2022-04-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-10 | 2022-04-15 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-10 | 2022-04-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-11 | 2022-02-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-11 | 2022-02-15 | Y |
