Deficiency Records for Nelson County Health System Care Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Nelson County Health System Care 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-15 | 2023-04-04 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-14 | 2023-03-27 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-03-14 | 2023-03-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-14 | 2023-03-27 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-03-15 | 2023-03-20 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-10-20 | 2021-12-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-10-20 | 2021-11-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-10-20 | 2021-11-24 | 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 | 2021-10-20 | 2021-11-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-20 | 2021-11-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-19 | 2021-11-19 | 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 | 2021-10-20 | 2021-11-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-10-19 | 2021-11-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-19 | 2021-11-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-15 | 2020-02-05 | 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 | 2020-01-15 | 2020-02-05 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-01-15 | 2020-02-05 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-12-19 | 2020-02-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-19 | 2020-02-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-19 | 2020-02-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-15 | 2020-02-01 | N |
