Deficiency Records for Surry Community Health Center By Harborview

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Updated as of March 01, 2024

A list of the most recent deficiencies for Surry Community Health Center By Harborview. 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?
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-12-01 2022-12-26 N
Ensure each resident receives an accurate assessment. Health 2022-12-01 2022-12-26 N
Provide enough food/fluids to maintain a resident's health. Health 2022-12-01 2022-12-26 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-12-01 2022-12-26 N
Ensure that residents are free from significant medication errors. Health 2022-12-01 2022-12-26 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-12-01 2022-12-26 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 2022-12-01 2022-12-26 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-10-12 2022-08-14 Y
Keep residents' personal and medical records private and confidential. Health 2021-04-29 2021-05-26 N
Assess the resident when there is a significant change in condition Health 2021-04-29 2021-05-26 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-04-29 2021-05-26 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-04-29 2021-05-26 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 2021-04-29 2021-05-26 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-04-29 2021-05-26 Y
Reasonably accommodate the needs and preferences of each resident. Health 2021-04-29 2021-05-26 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 2021-04-29 2021-05-26 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-04-29 2021-05-26 Y
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 2021-04-29 2021-05-26 Y
Provide and implement an infection prevention and control program. Health 2021-04-29 2021-05-26 Y
Provide properly protected cooking facilities. Fire Safety 2019-12-05 2019-12-22 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-12-05 2019-12-22 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2019-10-31 2019-11-25 N