A list of the most recent deficiencies for Worth County Convalescent 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-19 | 2023-07-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-19 | 2023-07-03 | 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 | 2023-05-19 | 2023-07-03 | 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 | 2023-05-19 | 2023-07-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-19 | 2023-07-03 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-05-19 | 2023-07-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-19 | 2023-07-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-19 | 2023-07-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-19 | 2023-07-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-19 | 2023-07-03 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2023-05-19 | 2023-07-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-19 | 2023-07-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-19 | 2023-07-03 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-05-19 | 2023-07-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-19 | 2023-07-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-05-19 | 2023-07-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-19 | 2023-07-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-19 | 2023-07-03 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-05-19 | 2023-07-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-05-19 | 2023-07-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-19 | 2023-07-03 | N |
| Use approved construction type or materials. | Fire Safety | 2021-09-22 | 2022-03-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-09-22 | 2021-12-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-22 | 2021-12-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-22 | 2021-12-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-09-22 | 2021-12-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-09-22 | 2021-12-17 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2021-09-22 | 2021-11-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-09-22 | 2021-11-08 | 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 | 2021-09-22 | 2021-10-30 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-09-22 | 2021-10-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-22 | 2021-10-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-22 | 2021-10-28 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-09-22 | 2021-10-26 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-09-22 | 2021-10-25 | 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 | 2021-09-22 | 2021-10-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-22 | 2021-10-20 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2021-09-22 | 2021-10-13 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-09-22 | 2021-10-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-22 | 2021-10-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-23 | 2021-09-30 | Y |
| 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 | 2019-07-10 | 2019-08-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-10 | 2019-08-23 | 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 | 2019-07-10 | 2019-08-23 | 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 | 2019-07-10 | 2019-08-23 | 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 | 2019-07-10 | 2019-08-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-10 | 2019-08-23 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-07-10 | 2019-08-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-07-10 | 2019-08-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-10 | 2019-08-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-07-10 | 2019-08-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-10 | 2019-08-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-07-10 | 2019-08-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-07-10 | 2019-08-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-10 | 2019-08-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-10 | 2019-08-23 | N |
