A list of the most recent deficiencies for Community Nursing Home of Anaconda. 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? |
|---|---|---|---|---|
| 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 | 2023-09-25 | 2023-11-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-25 | 2023-11-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-25 | 2023-11-08 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-09-25 | 2023-11-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-09-25 | 2023-11-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-30 | 2023-10-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-30 | 2023-10-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-30 | 2023-10-10 | 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 | 2023-08-30 | 2023-10-10 | 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 | 2023-08-30 | 2023-10-10 | N |
| Keep all essential equipment working safely. | Health | 2023-08-30 | 2023-10-10 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-08-30 | 2023-10-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-30 | 2023-10-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-28 | 2023-05-12 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-08-29 | 2022-10-13 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-08-29 | 2022-10-13 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-08-29 | 2022-10-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-08-29 | 2022-10-13 | 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 | 2022-08-29 | 2022-10-13 | 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 | 2022-08-29 | 2022-10-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-29 | 2022-10-13 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-08-29 | 2022-10-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-29 | 2022-10-13 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-08-29 | 2022-10-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-17 | 2022-10-01 | Y |
| Assess the resident when there is a significant change in condition | Health | 2022-08-17 | 2022-10-01 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-08-17 | 2022-10-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-17 | 2022-10-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-17 | 2022-10-01 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-08-17 | 2022-10-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-17 | 2022-10-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-17 | 2022-10-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-17 | 2022-10-01 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-07-14 | 2021-08-28 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-07-14 | 2021-08-28 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-07-14 | 2021-08-28 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-07-14 | 2021-08-28 | N |
| Establish methods for sharing information. | Fire Safety | 2021-07-14 | 2021-08-28 | 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 | 2021-07-14 | 2021-08-28 | 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 | 2021-07-14 | 2021-08-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-14 | 2021-08-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-14 | 2021-08-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-07-14 | 2021-08-28 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-07-14 | 2021-08-28 | N |
