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Deficiency Records for Schuyler County Nursing Home

A list of the most recent deficiencies for Schuyler County Nursing Home. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Schuyler County 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?
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-12-13 2024-02-05 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 2023-12-13 2024-01-27 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-12-13 2024-01-27 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-12-13 2024-01-27 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2023-12-13 2024-01-26 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-12-13 2024-01-26 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-13 2024-01-26 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 2023-12-13 2024-01-26 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 2023-12-13 2024-01-26 N
Post nurse staffing information every day. Health 2023-12-13 2024-01-26 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 2023-12-13 2024-01-26 N
Ensure that residents are free from significant medication errors. Health 2023-12-13 2024-01-26 N
Establish roles under a Waiver declared by secretary. Fire Safety 2023-12-13 2024-01-26 N
Establish emergency prep training and testing. Fire Safety 2023-12-13 2024-01-26 N
Conduct testing and exercise requirements. Fire Safety 2023-12-13 2024-01-26 N
Use approved construction type or materials. Fire Safety 2023-12-13 2024-01-26 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 2023-12-13 2024-01-26 N
Have an enclosure around a vertical opening shaft. Fire Safety 2023-12-13 2024-01-26 N
Provide properly protected cooking facilities. Fire Safety 2023-12-13 2024-01-26 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-12-13 2024-01-26 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-12-13 2024-01-26 N
Meet requirements for the use of electrical equipment. Fire Safety 2023-12-13 2024-01-02 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-12-13 2023-12-29 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 2023-12-13 2023-12-21 N
Provide and implement an infection prevention and control program. Health 2023-12-13 2023-12-21 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-01-05 2021-02-28 N
Assess the resident when there is a significant change in condition Health 2021-01-05 2021-02-28 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2021-01-05 2021-02-28 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 2021-01-05 2021-02-28 N
Provide enough food/fluids to maintain a resident's health. Health 2021-01-05 2021-02-28 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 2021-01-05 2021-02-28 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 2021-01-05 2021-02-28 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 2021-01-05 2021-02-28 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 2021-01-05 2021-02-28 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 2021-01-05 2021-02-28 N
Provide and implement an infection prevention and control program. Health 2021-01-05 2021-02-28 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 2021-01-05 2021-02-28 N
Address subsistence needs for staff and patients. Fire Safety 2021-01-05 2021-02-28 N
Provide primary/alternate means for communication. Fire Safety 2021-01-05 2021-02-28 N
Establish methods for sharing information. Fire Safety 2021-01-05 2021-02-28 N
Use approved construction type or materials. Fire Safety 2021-01-05 2021-02-28 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 2021-01-05 2021-02-28 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-01-05 2021-02-28 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-01-05 2021-02-28 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2021-01-05 2021-02-28 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-01-05 2021-02-28 N
Have proper medical gas storage and administration areas. Fire Safety 2021-01-05 2021-02-28 N
Meet other general requirements. Fire Safety 2021-01-05 2021-02-28 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2019-04-12 2019-05-23 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-04-12 2019-05-23 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 2019-04-12 2019-05-23 N
Assess the resident when there is a significant change in condition Health 2019-04-12 2019-05-23 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2019-04-12 2019-05-23 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-04-12 2019-05-23 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-04-12 2019-05-23 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 2019-04-12 2019-05-23 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 2019-04-12 2019-05-23 N
Provide and implement an infection prevention and control program. Health 2019-04-12 2019-05-23 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2019-04-12 2019-05-23 N
Provide primary/alternate means for communication. Fire Safety 2019-04-12 2019-05-23 N
Conduct testing and exercise requirements. Fire Safety 2019-04-12 2019-05-23 N
Implement emergency and standby power systems. Fire Safety 2019-04-12 2019-05-23 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 2019-04-12 2019-05-23 N
Provide properly protected cooking facilities. Fire Safety 2019-04-12 2019-05-23 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2019-04-12 2019-05-23 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2019-04-12 2019-05-23 N

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