Deficiency Records for Cassville Health Center For Rehab and Healthcare
Updated as of March 01, 2024
A list of the most recent deficiencies for Cassville Health Center For Rehab and Healthcare. 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? |
|---|---|---|---|---|
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-12-07 | 2023-02-08 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-12-07 | 2023-02-01 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-12-07 | 2023-02-01 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-12-07 | 2023-02-01 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-12-07 | 2023-02-01 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-12-07 | 2023-02-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-07 | 2023-02-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-07 | 2023-02-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-07 | 2023-02-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-12-07 | 2023-02-01 | 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 | 2022-12-07 | 2023-02-01 | 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 | 2022-12-07 | 2023-02-01 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-12-07 | 2023-02-01 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-12-07 | 2023-02-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-07 | 2023-02-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-07 | 2023-02-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-12-07 | 2023-02-01 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-12-07 | 2023-02-01 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-12-07 | 2023-02-01 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-12-07 | 2023-02-01 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-12-07 | 2023-02-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-07 | 2023-02-01 | 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 | 2022-12-07 | 2023-02-01 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-12-07 | 2023-02-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-07 | 2023-02-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-07 | 2023-02-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-07 | 2023-02-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-07 | 2023-02-01 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-12-07 | 2023-02-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-07 | 2023-02-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-07 | 2023-02-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-11 | 2022-07-06 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-23 | 2021-11-04 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-23 | 2021-11-04 | Y |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-09-23 | 2021-11-04 | Y |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-09-23 | 2021-11-04 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-10-02 | 2020-11-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-10-02 | 2020-11-16 | N |
| Respond appropriately to all alleged violations. | Health | 2020-10-02 | 2020-11-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-10-02 | 2020-11-16 | 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 | 2020-10-02 | 2020-11-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-02 | 2020-11-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-02 | 2020-11-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-10-02 | 2020-11-16 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2020-10-02 | 2020-11-16 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-10-02 | 2020-11-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-10-02 | 2020-11-16 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-02-07 | 2019-03-22 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-02-07 | 2019-03-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-07 | 2019-03-22 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-02-07 | 2019-03-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-02-07 | 2019-03-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-02-07 | 2019-03-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-07 | 2019-03-22 | 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 | 2019-02-07 | 2019-03-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-07 | 2019-03-22 | 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 | 2019-02-07 | 2019-03-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-07 | 2019-03-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-07 | 2019-03-22 | 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 | 2019-02-13 | 2019-03-22 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-02-13 | 2019-03-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-13 | 2019-03-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-02-13 | 2019-03-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-13 | 2019-03-22 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-02-13 | 2019-03-22 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2019-02-13 | 2019-03-22 | N |
