Deficiency Records for Ira Davenport Memorial Hospital S N F/ H R F

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Updated as of April 01, 2024

A list of the most recent deficiencies for Ira Davenport Memorial Hospital S N F/ H R F. 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?
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-08-07 2023-09-20 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2022-11-18 2023-01-17 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-11-18 2023-01-17 Y
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-11-18 2023-01-17 N
Have proper medical gas storage and administration areas. Fire Safety 2022-11-18 2023-01-17 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 2021-06-18 2021-07-16 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-06-18 2021-07-16 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-06-18 2021-07-16 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2021-06-18 2021-07-16 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2021-06-18 2021-07-16 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2021-06-18 2021-07-16 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-04-11 2019-06-10 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-04-11 2019-06-10 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2019-04-11 2019-06-10 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-04-11 2019-06-10 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 2019-04-11 2019-06-10 N
Ensure that residents are free from significant medication errors. Health 2019-04-11 2019-06-10 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2019-04-11 2019-06-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-04-11 2019-06-10 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 2019-04-11 2019-06-10 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2019-04-11 2019-06-10 N
Provide family notifications of emergency plan. Fire Safety 2019-04-11 2019-06-10 N
Have corridors or aisles that are unobstructed and are at least 8 feet in width. Fire Safety 2019-04-11 2019-06-10 N