Deficiency Records for Pruitthealth-Rockingham
Updated as of March 01, 2022
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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2021-03-26 | 2021-06-04 | Y |
| 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 | 2021-04-28 | 2021-05-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-04-28 | 2021-05-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-03-26 | 2021-05-19 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-03-26 | 2021-05-19 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-03-26 | 2021-05-19 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-03-26 | 2021-05-19 | 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 | 2021-03-26 | 2021-05-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-03-26 | 2021-05-19 | N |
| Provide activities to meet all resident's needs. | Health | 2021-03-26 | 2021-05-19 | 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 | 2021-03-26 | 2021-05-19 | 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 | 2021-03-26 | 2021-05-19 | 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 | 2021-03-26 | 2021-05-19 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2021-03-26 | 2021-05-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-26 | 2021-05-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-03-26 | 2021-05-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-26 | 2021-05-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-26 | 2021-05-19 | Y |
| 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 |
| 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 |
| 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 |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 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 |
| Ensure services provided by the nursing facility meet professional standards of quality. | 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 |
| Provide safe and appropriate respiratory care for a resident when needed. | 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 |
