A list of the most recent deficiencies for Logan Health - Conrad. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-12 | 2023-08-17 | 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 | 2023-04-27 | 2023-05-31 | 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 | 2023-04-27 | 2023-05-31 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-04-27 | 2023-05-31 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-04-27 | 2023-05-31 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-04-27 | 2023-05-31 | 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 | 2023-04-27 | 2023-05-31 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-27 | 2023-05-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-27 | 2023-05-31 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2023-04-27 | 2023-05-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-27 | 2023-05-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-04-27 | 2023-05-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-27 | 2023-05-31 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-01 | 2023-05-25 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-05-01 | 2023-05-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-05-01 | 2023-05-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-01 | 2023-05-02 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-05-01 | 2023-05-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-01 | 2023-05-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-04 | 2022-05-27 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-05-04 | 2022-05-27 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-05-04 | 2022-05-27 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-05-04 | 2022-05-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-04 | 2022-05-27 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-04-29 | 2021-06-11 | 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 | 2021-04-29 | 2021-06-11 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-05-03 | 2021-06-11 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-05-03 | 2021-06-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-03 | 2021-06-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-03 | 2021-06-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-03 | 2021-06-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-29 | 2021-05-26 | N |
