A list of the most recent deficiencies for La Plata Nursing 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 appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-02 | 2023-11-20 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-04-24 | 2023-06-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-04-24 | 2023-06-27 | 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 | 2023-04-24 | 2023-06-27 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-04-24 | 2023-06-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-04-24 | 2023-06-27 | 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 | 2023-04-24 | 2023-06-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-24 | 2023-06-27 | 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 | 2023-04-24 | 2023-06-27 | 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 | 2023-04-24 | 2023-06-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-24 | 2023-06-27 | 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 | 2023-04-24 | 2023-06-27 | 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 | 2023-04-24 | 2023-06-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-24 | 2023-06-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-24 | 2023-06-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-24 | 2023-06-27 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-04-24 | 2023-06-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-04-24 | 2023-06-27 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-04-24 | 2023-06-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-24 | 2023-06-27 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-04-24 | 2023-06-14 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-04-24 | 2023-06-14 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-04-24 | 2023-06-14 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-04-24 | 2023-06-14 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-04-24 | 2023-06-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-04-24 | 2023-06-14 | N |
| Meet other general requirements. | Fire Safety | 2023-04-24 | 2023-06-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-24 | 2023-06-14 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-04-24 | 2023-06-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-24 | 2023-06-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-24 | 2023-06-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-24 | 2023-06-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-04-24 | 2023-06-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-24 | 2023-06-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-24 | 2023-06-14 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-04-24 | 2023-06-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-14 | 2022-11-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-01 | 2019-09-15 | 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 | 2019-08-01 | 2019-09-15 | 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 | 2019-08-01 | 2019-09-15 | N |
| Use approved construction type or materials. | Fire Safety | 2019-08-01 | 2019-09-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-01 | 2019-09-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-08-01 | 2019-09-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-01 | 2019-09-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-08-01 | 2019-09-15 | N |
| Meet other general requirements. | Fire Safety | 2019-08-01 | 2019-09-15 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-08-30 | 2018-10-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-30 | 2018-10-16 | 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 | 2018-08-30 | 2018-10-16 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-08-30 | 2018-10-16 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-08-30 | 2018-10-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-30 | 2018-10-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-30 | 2018-10-16 | N |
