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Deficiency Records for Lewis County Nursing Home District
View the most recent health deficiencies and inspection results for Lewis County Nursing Home District. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lewis County Nursing Home District. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-11-17 | 2026-01-30 | N |
| 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 | 2025-11-17 | 2026-01-30 | 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 | 2025-11-17 | 2026-01-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-11-17 | 2026-01-30 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2025-11-17 | 2025-12-31 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-11-17 | 2025-12-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-11-17 | 2025-12-31 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-11-17 | 2025-12-31 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2025-11-17 | 2025-12-31 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-11-17 | 2025-12-31 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2025-11-17 | 2025-12-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-11-17 | 2025-12-31 | 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 | 2025-11-17 | 2025-12-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-11-17 | 2025-12-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-11-17 | 2025-12-31 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-11-17 | 2025-12-31 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2025-11-17 | 2025-12-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-11-17 | 2025-12-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-11-17 | 2025-12-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-11-17 | 2025-12-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-11-17 | 2025-12-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-11-17 | 2025-12-31 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-11-17 | 2025-12-31 | 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 | 2025-11-17 | 2025-12-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-11-17 | 2025-12-31 | 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 | 2025-11-17 | 2025-12-31 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2025-11-17 | 2025-12-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-05 | 2024-02-08 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-11-17 | 2024-02-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-17 | 2024-02-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-17 | 2024-02-08 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2023-11-17 | 2024-02-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-17 | 2024-02-08 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-01-05 | 2024-02-08 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-01-05 | 2024-02-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-05 | 2024-02-08 | Y |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2024-01-05 | 2024-02-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-05 | 2024-02-08 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-17 | 2024-01-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-11-17 | 2024-01-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-11-17 | 2024-01-01 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-11-17 | 2024-01-01 | 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 | 2023-11-17 | 2024-01-01 | 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 | 2023-11-17 | 2024-01-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-17 | 2024-01-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-17 | 2024-01-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-17 | 2024-01-01 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-11-17 | 2024-01-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-17 | 2024-01-01 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-11-17 | 2024-01-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-17 | 2024-01-01 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-11-17 | 2023-11-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-13 | 2023-07-14 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-05-21 | 2021-06-23 | 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 | 2021-05-21 | 2021-06-23 | N |
| Provide activities to meet all resident's needs. | Health | 2021-05-21 | 2021-06-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-21 | 2021-06-23 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-05-21 | 2021-06-23 | 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 | 2021-05-21 | 2021-06-23 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-05-21 | 2021-06-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-05-21 | 2021-06-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-21 | 2021-06-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-21 | 2021-06-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-21 | 2021-06-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-05-21 | 2021-06-23 | 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 | 2021-05-21 | 2021-06-23 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2021-05-21 | 2021-06-23 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-05-21 | 2021-06-23 | N |