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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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