A list of the most recent deficiencies for Pruitthealth-Elkin. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2023-02-09 | 2023-04-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-09 | 2023-04-30 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-02-09 | 2023-04-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-09 | 2023-04-30 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-02-09 | 2023-04-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-09 | 2023-04-30 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-02-09 | 2023-04-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-09 | 2023-04-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-02-09 | 2023-04-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-09 | 2023-04-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-09 | 2023-04-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-09 | 2023-04-30 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-02-09 | 2023-04-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-09 | 2023-04-30 | 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 | 2023-01-11 | 2023-02-08 | N |
| Provide activities to meet all resident's needs. | Health | 2023-01-11 | 2023-02-08 | 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 | 2023-01-11 | 2023-02-08 | 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 | 2023-01-11 | 2023-02-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-11 | 2023-02-08 | N |
| Dispose of garbage and refuse properly. | Health | 2023-01-11 | 2023-02-08 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-01-11 | 2023-02-08 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2023-01-11 | 2023-02-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-21 | 2022-05-19 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-21 | 2022-05-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-01 | 2021-07-01 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-05-28 | 2021-07-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-28 | 2021-07-01 | Y |
| Provide activities to meet all resident's needs. | Health | 2021-05-28 | 2021-07-01 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-05-28 | 2021-07-01 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-04-01 | 2021-05-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-04-01 | 2021-05-28 | 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 | 2021-04-01 | 2021-05-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-01 | 2021-05-28 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-02-11 | 2020-03-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-02-11 | 2020-03-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-11 | 2020-03-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-11 | 2020-03-16 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-01-09 | 2020-02-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-09 | 2020-02-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-09 | 2020-02-06 | 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 | 2020-01-09 | 2020-02-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-09 | 2020-02-06 | N |
