Deficiency Records for Harnett Woods Nursing and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Harnett Woods Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-30 | 2023-04-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-03 | 2023-03-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-03 | 2023-03-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-23 | 2022-08-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-07-23 | 2022-08-26 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-07-23 | 2022-08-26 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-07-23 | 2022-08-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-12-02 | 2022-01-11 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-12-02 | 2022-01-11 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-12-02 | 2022-01-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-02 | 2022-01-11 | 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 | 2021-12-02 | 2022-01-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-02 | 2022-01-11 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-12-02 | 2022-01-11 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-12-02 | 2022-01-11 | 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 | 2021-12-02 | 2022-01-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-02 | 2022-01-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-11 | 2019-08-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-07-11 | 2019-08-22 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2019-07-11 | 2019-08-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-31 | 2019-06-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-05-31 | 2019-06-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-31 | 2019-06-25 | 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 | 2019-05-31 | 2019-06-25 | N |
