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Deficiency Records for Sarah Ann Hester Memorial Home

View the most recent health deficiencies and inspection results for Sarah Ann Hester Memorial Home. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Sarah Ann Hester Memorial Home. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2025-04-03 2025-05-18 Y
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2025-01-15 2025-02-28 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 2025-01-15 2025-02-28 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2025-01-15 2025-02-28 Y
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2025-01-15 2025-02-28 N
Provide and implement an infection prevention and control program. Health 2025-01-15 2025-02-28 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-01-15 2025-02-28 N
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. Health 2025-01-15 2025-02-28 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2025-01-15 2025-02-28 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2025-01-15 2025-02-28 N
Have simulated fire drills held at unexpected times. Fire Safety 2025-01-15 2025-02-28 N
Address patient/client population and determine types of services needed. Fire Safety 2025-01-15 2025-02-28 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-11-30 2024-01-14 Y
Provide and implement an infection prevention and control program. Health 2023-11-30 2024-01-14 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2023-11-30 2024-01-14 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-11-30 2024-01-14 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-11-30 2024-01-14 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-11-30 2024-01-14 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-11-30 2024-01-14 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-11-17 2022-12-30 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-11-17 2022-12-30 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2022-11-17 2022-12-28 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-11-17 2022-12-28 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 2022-11-17 2022-12-28 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-11-17 2022-12-28 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-11-17 2022-12-28 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 2022-11-17 2022-12-28 N
Provide and implement an infection prevention and control program. Health 2022-11-17 2022-12-28 N
Perform COVID19 testing on residents and staff. Health 2022-11-17 2022-12-28 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2026-04-30 Not Fixed Y

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