Deficiency Records for Person Memorial Hospital
Updated as of March 01, 2018
This is not the most recent data for Person Memorial Hospital. For the most recent information, click here.
A list of the most recent deficiencies for Person Memorial Hospital. 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-10-11 | 2017-10-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-11 | 2017-10-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-10-11 | 2017-10-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-10-11 | 2017-10-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-10-11 | 2017-10-27 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-09-12 | 2017-10-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-09-12 | 2017-10-24 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-09-12 | 2017-10-24 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-09-12 | 2017-10-24 | N |
| Provide housekeeping and maintenance services. | Health | 2017-09-12 | 2017-10-24 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-09-12 | 2017-10-24 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2017-09-12 | 2017-10-24 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2017-09-12 | 2017-10-24 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-09-12 | 2017-10-24 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-09-12 | 2017-10-24 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-12 | 2017-10-24 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-09-12 | 2017-10-24 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-09-12 | 2017-10-24 | N |
| Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. | Health | 2017-09-12 | 2017-10-24 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-12 | 2017-10-24 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-09-12 | 2017-10-24 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-09-12 | 2017-10-24 | N |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2017-09-12 | 2017-10-24 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-09-12 | 2017-10-24 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-09-12 | 2017-10-24 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-09-12 | 2017-10-24 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-09-12 | 2017-10-24 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-09-12 | 2017-10-24 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2017-09-12 | 2017-10-24 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-09-12 | 2017-10-24 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-09-12 | 2017-10-24 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-09-12 | 2017-10-24 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-07-20 | 2017-08-17 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2016-11-08 | 2016-11-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2016-11-08 | 2016-11-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-10-06 | 2016-11-03 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-10-06 | 2016-11-03 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2016-10-06 | 2016-11-03 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-10-06 | 2016-11-03 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-10-06 | 2016-11-03 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-10-06 | 2016-11-03 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-10-06 | 2016-11-03 | N |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2016-10-06 | 2016-11-03 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-10-06 | 2016-11-03 | Y |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-10-06 | 2016-11-03 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-10-06 | 2016-11-03 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-10-06 | 2016-11-03 | Y |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-12-17 | 2016-01-28 | N |
| Properly working alarms on sprinkler valves. | Fire Safety | 2015-12-17 | 2016-01-28 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2015-11-06 | 2015-12-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-11-06 | 2015-12-04 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2015-11-06 | 2015-12-04 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-11-06 | 2015-12-04 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2015-11-06 | 2015-12-04 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2015-11-06 | 2015-12-04 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-11-06 | 2015-12-04 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-08-29 | 2015-10-07 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-08-29 | 2015-10-07 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-08-29 | 2015-10-07 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-03-24 | 2015-04-09 | Y |
