Deficiency Records for Litzenberg Memorial County Hospital
Updated as of September 01, 2021
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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-01-27 | 2021-02-12 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-01-27 | 2021-02-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-01-27 | 2021-02-12 | 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 | 2021-01-27 | 2021-02-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-01-27 | 2021-02-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-01-27 | 2021-02-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-01-27 | 2021-02-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-01-27 | 2021-02-12 | 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 | 2021-01-21 | 2021-02-08 | 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 | 2021-01-21 | 2021-02-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-01-21 | 2021-02-08 | 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 | 2019-12-12 | 2020-01-20 | Y |
| 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 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-02-05 | 2018-03-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-02-05 | 2018-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-05 | 2018-03-01 | 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 | 2018-02-05 | 2018-03-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-02-05 | 2018-03-01 | N |
| 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 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-02-05 | 2018-03-01 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-02-05 | 2018-03-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-02-05 | 2018-03-01 | N |
