Deficiency Records for Northern Regional Hospital
Updated as of August 01, 2020
This is not the most recent data for Northern Regional Hospital. For the most recent information, click here.
A list of the most recent deficiencies for Northern Regional 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? |
|---|---|---|---|---|
| Install proper backup exit lighting. | Fire Safety | 2019-06-26 | 2019-07-16 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-06-26 | 2019-07-16 | N |
| 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 | 2019-05-23 | 2019-06-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-23 | 2019-06-07 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-05-23 | 2019-06-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-05-23 | 2019-06-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-23 | 2019-06-07 | 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 | 2018-04-12 | 2018-04-16 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-03-02 | 2017-03-17 | N |
| Provide outside doors or windows in every resident room. | Fire Safety | 2017-03-02 | 2017-03-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-03-02 | 2017-03-17 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-02-10 | 2017-03-09 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-02-10 | 2017-03-09 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-02-10 | 2017-03-09 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-02-10 | 2017-03-09 | 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 | 2017-02-10 | 2017-03-09 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-02-10 | 2017-03-09 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-02-10 | 2017-03-09 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-02-10 | 2017-03-09 | 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 | 2017-02-10 | 2017-03-09 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-02-10 | 2017-03-09 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-02-10 | 2017-03-09 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-02-10 | 2017-02-10 | N |
