A list of the most recent deficiencies for Givens Health Center. 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? |
|---|---|---|---|---|
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-25 | 2024-03-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-25 | 2024-03-10 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-12-21 | 2024-01-23 | 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 | 2023-12-21 | 2024-01-23 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-12-21 | 2024-01-23 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-12-21 | 2024-01-23 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-12-21 | 2024-01-23 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-12-21 | 2024-01-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-21 | 2024-01-23 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-12-21 | 2024-01-23 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-12-21 | 2024-01-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-21 | 2024-01-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-21 | 2024-01-23 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-12-21 | 2024-01-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-21 | 2024-01-23 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-09-21 | 2022-10-27 | 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 | 2022-09-21 | 2022-10-27 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-08-26 | 2022-09-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-26 | 2022-09-14 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-04-09 | 2021-04-23 | 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 | 2021-04-09 | 2021-04-23 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-04-09 | 2021-04-23 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-04-09 | 2021-04-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-09 | 2021-04-23 | Y |
