A list of the most recent deficiencies for Hermitage Nursing and Rehab. 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-24 | 2023-07-08 | Y |
| 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 | 2023-05-24 | 2023-07-08 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-13 | 2022-02-27 | 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 | 2022-01-13 | 2022-02-27 | 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 | 2022-01-13 | 2022-02-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-13 | 2022-02-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-01-13 | 2022-02-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-13 | 2022-02-27 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-01-13 | 2022-02-27 | 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 | 2019-05-28 | 2019-07-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-01 | Not Fixed | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-02-01 | Not Fixed | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-02-01 | Not Fixed | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-01 | Not Fixed | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-01 | Not Fixed | N |
| Use approved construction type or materials. | Fire Safety | 2024-02-01 | Not Fixed | 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 | 2024-02-01 | Not Fixed | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-01 | Not Fixed | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-02-01 | Not Fixed | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-01 | Not Fixed | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-01 | Not Fixed | N |
