Deficiency Records for Hendersonville Health and Rehabilitation
Updated as of April 01, 2024
A list of the most recent deficiencies for Hendersonville Health and Rehabilitation. 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 corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-01-25 | 2024-02-16 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-07-12 | 2023-08-26 | 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 | 2023-06-16 | 2023-07-14 | 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 | 2023-06-16 | 2023-07-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-16 | 2023-07-06 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-06-16 | 2023-07-06 | Y |
| 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 | 2023-06-16 | 2023-07-06 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-06-16 | 2023-06-30 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-16 | 2023-06-21 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-16 | 2023-06-16 | 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 | 2021-10-14 | 2021-11-07 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2021-10-14 | 2021-11-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-14 | 2021-11-07 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-09-05 | 2019-10-12 | 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 | 2019-09-05 | 2019-10-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-05 | 2019-10-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-25 | 2019-08-22 | 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 | 2019-07-25 | 2019-08-22 | N |
