A list of the most recent deficiencies for Genoa Community Hospital/ltc. 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 | 2023-04-11 | 2023-05-31 | 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 | 2023-04-11 | 2023-05-31 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-04-11 | 2023-05-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-11 | 2023-05-31 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-04-11 | 2023-05-31 | N |
| Respond appropriately to all alleged violations. | Health | 2023-04-12 | 2023-05-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-12 | 2022-03-01 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-01-12 | 2022-03-01 | 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 | 2022-01-12 | 2022-03-01 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-01-12 | 2022-03-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-12 | 2022-03-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-12 | 2022-03-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-12 | 2022-03-01 | 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 | 2022-01-06 | 2022-01-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-01-06 | 2022-01-14 | 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 | 2022-01-06 | 2022-01-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-01-06 | 2022-01-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-01-06 | 2022-01-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-01-06 | 2022-01-07 | 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 | 2022-01-06 | 2022-01-06 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-08-13 | 2020-09-30 | 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 | 2020-08-13 | 2020-09-30 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2020-08-12 | 2020-09-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-08-12 | 2020-09-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-08-12 | 2020-09-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-08-12 | 2020-09-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-08-12 | 2020-09-17 | N |
