A list of the most recent deficiencies for Rock County Hospital Long Term Care. 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 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 | 2023-08-15 | 2023-09-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-15 | 2023-09-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-15 | 2023-09-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-15 | 2023-09-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-15 | 2023-09-28 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-08-10 | 2023-09-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-10 | 2023-09-28 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2023-08-10 | 2023-09-28 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-04-26 | 2022-06-10 | 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 | 2022-04-26 | 2022-06-10 | 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 | 2022-04-26 | 2022-06-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-26 | 2022-06-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-04-26 | 2022-06-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-26 | 2022-06-10 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-04-21 | 2022-06-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-21 | 2022-06-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-21 | 2022-06-10 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2022-04-21 | 2022-06-10 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2021-01-14 | 2021-02-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-01-14 | 2021-02-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-01-13 | 2021-02-26 | 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 | 2021-01-13 | 2021-02-26 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-01-13 | 2021-02-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-01-13 | 2021-02-26 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2021-01-13 | 2021-02-26 | N |
