Deficiency Records for Compass Healthcare and Rehab Hawfields, Inc
Updated as of November 01, 2020
This is not the most recent data for Compass Healthcare and Rehab Hawfields, Inc. For the most recent information, click here.
A list of the most recent deficiencies for Compass Healthcare and Rehab Hawfields, Inc. 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 | 2020-02-27 | 2020-03-24 | Y |
| Be properly staffed | Fire Safety | 2019-12-10 | 2019-12-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-10 | 2019-12-30 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2019-11-08 | 2019-12-04 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-11-08 | 2019-12-04 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-11-08 | 2019-12-04 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-11-08 | 2019-12-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-02-15 | 2019-01-29 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-11-15 | 2018-12-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-11-15 | 2018-12-30 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-11-15 | 2018-12-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-15 | 2018-12-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-11-15 | 2018-12-30 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-10-25 | 2018-11-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-25 | 2018-11-22 | N |
| 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 | 2018-10-25 | 2018-11-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-25 | 2018-11-22 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-10-25 | 2018-11-22 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-10-25 | 2018-11-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-07-11 | 2018-08-11 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-07-11 | 2018-08-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-07-11 | 2018-08-11 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-07-11 | 2018-08-11 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-10-18 | 2017-12-01 | 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 | 2017-10-18 | 2017-12-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-10-18 | 2017-12-01 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2017-10-18 | 2017-12-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-10-18 | 2017-12-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-10-18 | 2017-12-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-10-18 | 2017-12-01 | N |
| Provide housekeeping and maintenance services. | Health | 2017-09-21 | 2017-11-15 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-09-21 | 2017-11-15 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-09-21 | 2017-11-15 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-09-21 | 2017-11-15 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-09-21 | 2017-11-15 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-09-21 | 2017-11-15 | N |
