A list of the most recent deficiencies for Holdrege Memorial Homes, Inc. 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? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2023-07-20 | 2023-09-01 | 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 | 2023-07-20 | 2023-09-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-20 | 2023-09-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-20 | 2023-09-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-26 | 2022-07-01 | 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 | 2022-05-26 | 2022-07-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-26 | 2022-07-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-26 | 2022-07-01 | 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 | 2022-05-26 | 2022-07-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-24 | 2022-07-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-24 | 2022-07-01 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-05-24 | 2022-07-01 | 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 | 2021-01-05 | 2021-02-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-01-05 | 2021-02-20 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2021-01-05 | 2021-02-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-01-05 | 2021-02-20 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-01-11 | 2021-01-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-01-11 | 2021-01-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-01-11 | 2021-01-19 | 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 | 2021-01-11 | 2021-01-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-01-11 | 2021-01-19 | N |
