A list of the most recent deficiencies for Pruitthealth-Durham. 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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-01-12 | 2024-01-27 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-01-12 | 2024-01-27 | N |
Ensure each resident receives an accurate assessment. | Health | 2024-01-12 | 2024-01-27 | 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 | 2024-01-12 | 2024-01-27 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-12 | 2024-01-27 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-01-12 | 2024-01-27 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-17 | 2023-02-17 | Y |
Respond appropriately to all alleged violations. | Health | 2023-02-17 | 2023-02-17 | Y |
Use approved construction type or materials. | Fire Safety | 2022-12-06 | 2023-01-13 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-06 | 2023-01-13 | 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 | 2022-12-06 | 2023-01-13 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-12-06 | 2023-01-13 | N |
Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-12-06 | 2023-01-13 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-06 | 2023-01-13 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-06 | 2023-01-13 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-06 | 2023-01-13 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-27 | 2022-11-21 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-10-27 | 2022-11-21 | N |
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-10-27 | 2022-11-21 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-10-27 | 2022-11-21 | N |
Assess the resident when there is a significant change in condition | Health | 2022-10-27 | 2022-11-21 | N |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-10-27 | 2022-11-21 | N |
Ensure a qualified health professional conducts resident assessments. | Health | 2022-10-27 | 2022-11-21 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-10-27 | 2022-11-21 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-10-27 | 2022-11-21 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2022-10-27 | 2022-11-21 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-27 | 2022-11-21 | Y |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-10-27 | 2022-11-21 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-27 | 2022-11-21 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-27 | 2022-11-21 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-27 | 2022-11-21 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-27 | 2022-11-21 | Y |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-11 | 2021-09-13 | N |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-07-23 | 2021-08-30 | N |
Provide activities to meet all resident's needs. | Health | 2021-07-23 | 2021-08-30 | N |
Provide appropriate foot care. | Health | 2021-07-23 | 2021-08-30 | 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 | 2019-06-11 | 2019-08-10 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-11 | 2019-08-10 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-11 | 2019-08-10 | N |