A list of the most recent deficiencies for Schoellkopf Health Center. 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? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-08-22 | 2023-10-02 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-22 | 2023-10-02 | 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 | 2023-08-22 | 2023-10-02 | 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 | 2023-08-22 | 2023-10-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-22 | 2023-10-02 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2023-08-22 | 2023-10-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-22 | 2023-10-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-22 | 2023-10-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-22 | 2023-10-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-22 | 2023-10-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-22 | 2023-10-02 | 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 | 2023-03-08 | 2023-02-28 | Y |
| 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 | 2021-11-23 | 2022-01-21 | N |
| Respond appropriately to all alleged violations. | Health | 2021-11-23 | 2022-01-21 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-11-23 | 2022-01-21 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-04-09 | 2019-07-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-09 | 2019-06-24 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-04-09 | 2019-06-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-09 | 2019-06-07 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2019-04-09 | 2019-06-07 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-04-09 | 2019-06-07 | N |
| Meet other general requirements. | Fire Safety | 2019-04-09 | 2019-06-07 | N |
