Deficiency Records for Lewis County General Hospital-Nursing Home Unit
Updated as of April 01, 2024
A list of the most recent deficiencies for Lewis County General Hospital-Nursing Home Unit. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-16 | 2022-10-19 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-07-06 | 2022-08-31 | 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 | 2022-07-06 | 2022-08-31 | 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 | 2022-07-06 | 2022-08-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-06 | 2022-08-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-07-06 | 2022-08-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-06 | 2022-08-31 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-07-05 | 2022-08-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-05 | 2022-08-20 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-07-05 | 2022-08-08 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-07-05 | 2022-08-08 | 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 | 2022-07-05 | 2022-08-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-07-05 | 2022-08-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-05 | 2022-08-08 | N |
| Have a properly installed medical gas master alarm panel. | Fire Safety | 2022-07-05 | 2022-08-02 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2022-07-05 | 2022-08-02 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-07-05 | 2022-07-29 | 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 | 2019-12-06 | 2020-02-01 | N |
| Ensure gas and vacuum piping is labeled. | Fire Safety | 2019-12-04 | 2020-02-01 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-12-06 | 2019-12-11 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-12-04 | 2019-12-11 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2019-12-04 | 2019-12-11 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-12-04 | 2019-12-11 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-06-21 | 2018-08-17 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-06-21 | 2018-08-17 | 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 | 2018-06-21 | 2018-08-17 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-06-20 | 2018-07-27 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2018-06-20 | 2018-07-20 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2018-06-20 | 2018-07-20 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-06-20 | 2018-06-29 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2018-06-20 | 2018-06-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-06-20 | 2018-06-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-06-20 | 2018-06-29 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-06-20 | 2018-06-29 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2018-06-20 | 2018-06-27 | N |
