A list of the most recent deficiencies for Life Care Center of Hendersonville. 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? |
|---|---|---|---|---|
| Meet other general requirements. | Fire Safety | 2023-03-08 | 2023-04-21 | N |
| Use approved construction type or materials. | Fire Safety | 2023-03-08 | 2023-04-21 | 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 | 2023-03-08 | 2023-04-21 | 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 | 2023-03-08 | 2023-04-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-08 | 2023-04-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-08 | 2023-04-21 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-03-08 | 2023-04-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-08 | 2023-04-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-08 | 2023-04-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-08 | 2023-04-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-08 | 2023-04-21 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-03-08 | 2023-04-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-08 | 2023-04-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-08 | 2023-04-21 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-02-10 | 2023-03-26 | 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 | 2023-02-10 | 2023-03-26 | 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 | 2023-02-10 | 2023-03-26 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-02-10 | 2023-03-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-10 | 2023-03-26 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-02-10 | 2023-03-26 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-02-10 | 2023-03-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-10 | 2023-03-26 | Y |
| Dispose of garbage and refuse properly. | Health | 2023-02-10 | 2023-03-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-10 | 2023-03-26 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2023-02-10 | 2023-03-26 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-09 | 2021-07-23 | 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 | 2021-05-21 | 2021-06-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-05-21 | 2021-06-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-21 | 2021-06-18 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-05-21 | 2021-06-18 | 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 | 2021-05-21 | 2021-06-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-21 | 2021-06-18 | 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 | 2019-06-12 | 2019-07-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-06-12 | 2019-07-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-05-09 | 2019-05-31 | 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 | 2019-05-09 | 2019-05-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-09 | 2019-05-31 | N |
