Deficiency Records for Huntersville Health and Rehab Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Huntersville Health and Rehab 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-10 | 2023-05-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-10 | 2023-03-24 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-30 | 2023-03-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-30 | 2023-01-27 | Y |
| Meet other general requirements. | Fire Safety | 2022-07-07 | 2022-09-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-07 | 2022-09-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-07 | 2022-09-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-07 | 2022-09-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-07 | 2022-09-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-07-07 | 2022-09-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-07-07 | 2022-09-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-07 | 2022-09-20 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-06-09 | 2022-07-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-06-09 | 2022-07-05 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-06-09 | 2022-07-05 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-06-09 | 2022-07-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-06-09 | 2022-07-05 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-06-09 | 2022-07-05 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-09 | 2022-07-05 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-06-09 | 2022-07-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-09 | 2022-07-05 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-10-25 | 2021-11-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-09-24 | 2021-09-28 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-09-24 | 2021-09-28 | Y |
| Post nurse staffing information every day. | Health | 2021-09-24 | 2021-09-28 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-08-04 | 2021-09-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-04 | 2021-09-24 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-08-04 | 2021-09-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-04 | 2021-09-24 | Y |
| Post nurse staffing information every day. | Health | 2020-02-28 | 2020-03-27 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2020-02-28 | 2020-03-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-28 | 2020-03-27 | 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 | 2019-06-12 | 2019-06-26 | 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 | 2019-06-26 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-05-17 | 2019-06-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-05-17 | 2019-06-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-05-17 | 2019-06-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-17 | 2019-06-21 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-05-17 | 2019-06-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-17 | 2019-06-21 | N |
