A list of the most recent deficiencies for Accordius Health at Gastonia. 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 | 2023-11-17 | 2023-12-22 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-11-17 | 2023-12-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-17 | 2023-12-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-17 | 2023-12-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-17 | 2023-12-22 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-11-17 | 2023-12-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-17 | 2023-12-22 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-10-06 | 2023-11-03 | Y |
| 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 | 2023-10-06 | 2023-11-03 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-06 | 2023-11-03 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-10-06 | 2023-11-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-06 | 2023-11-03 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-10-06 | 2023-11-03 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-10-06 | 2023-11-03 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-10-06 | 2023-11-03 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-06 | 2023-11-03 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-10-06 | 2023-11-03 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-10-06 | 2023-11-03 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-06-14 | 2022-08-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-14 | 2022-08-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-14 | 2022-08-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-14 | 2022-08-29 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-08-18 | 2022-08-19 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-07-20 | 2022-08-19 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-20 | 2022-08-19 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-07-20 | 2022-08-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-20 | 2022-08-19 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-05-20 | 2022-08-19 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-20 | 2022-08-19 | Y |
| 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 | 2022-05-20 | 2022-07-20 | Y |
| Assess the resident when there is a significant change in condition | Health | 2022-05-20 | 2022-07-20 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-05-20 | 2022-07-20 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-05-20 | 2022-07-20 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-05-20 | 2022-07-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-20 | 2022-07-20 | 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 | 2022-05-20 | 2022-07-20 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-20 | 2022-07-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-20 | 2022-07-20 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-20 | 2022-07-20 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-11-15 | 2019-12-12 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-11-15 | 2019-12-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-11-15 | 2019-12-12 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-11-15 | 2019-12-12 | N |
