Deficiency Records for Litzenberg Memorial County Hospital
Updated as of March 01, 2020
This is not the most recent data for Litzenberg Memorial County Hospital. For the most recent information, click here.
A list of the most recent deficiencies for Litzenberg Memorial County Hospital. 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 horizontal exits used in accordance with safety requirements. | Fire Safety | 2019-06-11 | 2019-07-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-11 | 2019-07-26 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-06-13 | 2019-07-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-06-13 | 2019-07-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-06-13 | 2019-07-26 | 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 | 2019-06-13 | 2019-07-26 | 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 | 2018-02-05 | 2018-03-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-02-05 | 2018-03-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-02-05 | 2018-03-16 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-02-05 | 2018-03-16 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2018-02-05 | 2018-03-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-02-05 | 2018-03-01 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2018-02-05 | 2018-03-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-05 | 2018-03-01 | 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 | 2018-02-05 | 2018-03-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-02-05 | 2018-03-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-05 | 2018-03-01 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-02-05 | 2018-03-01 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-02-05 | 2018-03-01 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-02-05 | 2018-03-01 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-11-13 | 2017-12-27 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-11-13 | 2017-12-27 | Y |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2016-12-19 | 2017-01-18 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2016-12-19 | 2017-01-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2016-12-19 | 2017-01-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2016-12-19 | 2016-12-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2016-12-19 | 2016-12-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-12-19 | 2016-12-19 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2016-12-19 | 2016-12-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2016-12-19 | 2016-12-19 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2016-12-19 | 2016-12-19 | N |
