Deficiency Records for Pruitthealth-Rockingham
Updated as of February 01, 2021
This is not the most recent data for Pruitthealth-Rockingham. For the most recent information, click here.
A list of the most recent deficiencies for Pruitthealth-Rockingham. 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-10-10 | 2019-12-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-10 | 2019-12-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-10-10 | 2019-12-01 | 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 | 2019-08-29 | 2019-09-26 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-08-29 | 2019-09-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-29 | 2019-09-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-29 | 2019-09-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-29 | 2019-09-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-29 | 2019-09-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-29 | 2019-09-26 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-08-29 | 2019-09-26 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-02-08 | 2019-03-14 | 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 | 2019-02-08 | 2019-03-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-02-08 | 2019-03-14 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-02-08 | 2019-03-14 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-02-08 | 2019-03-14 | 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 | 2019-02-08 | 2019-03-14 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-02-08 | 2019-03-14 | Y |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2019-02-08 | 2019-03-14 | Y |
| Use approved construction type or materials. | Fire Safety | 2018-07-24 | 2018-09-07 | N |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2018-07-24 | 2018-09-07 | 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 | 2018-07-24 | 2018-09-07 | 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 | 2018-07-24 | 2018-09-07 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-07-24 | 2018-09-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-07-24 | 2018-09-07 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-07-24 | 2018-09-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-07-24 | 2018-09-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-07-24 | 2018-09-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-24 | 2018-09-07 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-06-21 | 2018-07-19 | 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 | 2018-06-21 | 2018-07-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-06-21 | 2018-07-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-06-21 | 2018-07-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-21 | 2018-07-19 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-06-21 | 2018-07-19 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-06-21 | 2018-07-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-06-21 | 2018-07-17 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-06-21 | 2018-07-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-21 | 2018-07-17 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-06-21 | 2018-07-17 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-06-21 | 2018-07-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-06-21 | 2018-07-17 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-06-21 | 2018-07-17 | 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 | 2018-06-21 | 2018-07-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-06-21 | 2018-07-17 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-06-21 | 2018-07-17 | Y |
| Use approved construction type or materials. | Fire Safety | 2017-06-07 | 2017-07-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-06-07 | 2017-07-27 | 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 | 2017-06-07 | 2017-07-27 | 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 | 2017-06-07 | 2017-07-27 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-06-07 | 2017-07-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-06-07 | 2017-07-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-06-07 | 2017-07-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-06-07 | 2017-07-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-05-11 | 2017-06-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-05-11 | 2017-06-08 | N |
| Provide housekeeping and maintenance services. | Health | 2017-05-11 | 2017-06-08 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-05-11 | 2017-06-08 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-05-11 | 2017-06-08 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-05-11 | 2017-06-08 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-11 | 2017-06-08 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-05-11 | 2017-06-08 | N |
| Keep all essential equipment working safely. | Health | 2017-05-11 | 2017-06-08 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-05-11 | 2017-06-08 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-05-11 | 2017-06-08 | N |
