Deficiency Records for Hope Center For H I V and Nursing Care
Updated as of May 01, 2021
This is not the most recent data for Hope Center For H I V and Nursing Care. For the most recent information, click here.
A list of the most recent deficiencies for Hope Center For H I V and Nursing 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? |
|---|---|---|---|---|
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-03-22 | 2019-04-30 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-03-22 | 2019-04-21 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-03-22 | 2019-04-21 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2017-12-20 | 2018-04-23 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2017-12-20 | 2018-04-23 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2017-12-20 | 2018-04-23 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2017-12-20 | 2018-04-23 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2017-12-20 | 2018-04-23 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2017-12-20 | 2018-04-23 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2017-12-20 | 2018-04-23 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2017-12-20 | 2018-04-23 | N |
| Develop a communication plan. | Fire Safety | 2017-12-20 | 2018-04-23 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2017-12-20 | 2018-04-23 | N |
| Provide emergency officials' contact information. | Fire Safety | 2017-12-20 | 2018-04-23 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2017-12-20 | 2018-04-23 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2017-12-20 | 2018-04-23 | N |
| Establish staff and initial training requirements. | Fire Safety | 2017-12-20 | 2018-04-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2017-12-20 | 2018-04-23 | N |
| Meet the requirements of an integrated health system. | Fire Safety | 2017-12-20 | 2018-04-23 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2017-12-20 | 2018-04-23 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2017-12-20 | 2018-04-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-12-20 | 2018-04-23 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-12-20 | 2018-02-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-20 | 2018-02-13 | 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 | 2017-12-20 | 2018-02-13 | 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 | 2017-12-20 | 2018-02-13 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-09-15 | 2016-11-16 | N |
| Properly working alarms on sprinkler valves. | Fire Safety | 2016-09-15 | 2016-10-20 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-09-15 | 2016-10-20 | N |
