Deficiency Records for Harrison Pavilion Care Center
Updated as of May 01, 2020
This is not the most recent data for Harrison Pavilion Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Harrison Pavilion 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 | 2020-01-27 | 2020-02-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-01-27 | 2020-02-03 | 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 | 2020-01-27 | 2020-02-03 | Y |
| Post nurse staffing information every day. | Health | 2020-01-27 | 2020-02-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-27 | 2020-02-03 | 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 | 2020-01-27 | 2020-02-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-12-17 | 2020-02-03 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-12-17 | 2020-02-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-12-17 | 2020-02-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-12-17 | 2020-02-03 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-12-17 | 2020-02-03 | Y |
| 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 | 2019-12-17 | 2020-02-03 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-03-28 | 2019-04-26 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-03-28 | 2019-04-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-28 | 2019-04-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-28 | 2019-04-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-03-28 | 2019-04-26 | N |
| Be properly staffed | Fire Safety | 2019-03-28 | 2019-04-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-28 | 2019-04-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-03-28 | 2019-04-26 | 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 | 2019-03-28 | 2019-04-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-03-28 | 2019-04-26 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-03-28 | 2019-04-26 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-03-28 | 2019-04-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-28 | 2019-04-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-28 | 2019-04-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-28 | 2019-04-26 | 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 ne | Health | 2019-03-28 | 2019-04-26 | 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 | 2019-03-28 | 2019-04-26 | 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 | 2019-03-28 | 2019-04-26 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2019-03-28 | 2019-04-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-28 | 2019-04-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-28 | 2019-04-26 | N |
| Keep all essential equipment working safely. | Health | 2018-04-18 | 2018-04-24 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-04-18 | 2018-04-24 | Y |
| Provide information about how to apply for and use Medicare and Medicaid benefits. | Health | 2018-02-22 | 2018-04-24 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-02-22 | 2018-04-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-02-22 | 2018-04-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-02-22 | 2018-04-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-02-22 | 2018-04-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-22 | 2018-04-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-03-01 | 2018-04-22 | 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 | 2018-03-01 | 2018-04-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-03-01 | 2018-04-22 | 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 | 2018-03-01 | 2018-04-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-03-01 | 2018-04-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-01 | 2018-04-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-03-01 | 2018-04-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-03-01 | 2018-04-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-03-01 | 2018-04-22 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2018-03-01 | 2018-04-22 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-03-01 | 2018-04-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-03-01 | 2018-04-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-03-01 | 2018-04-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-03-01 | 2018-04-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2016-12-06 | 2016-12-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-12-06 | 2016-12-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2016-12-06 | 2016-12-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2016-12-06 | 2016-12-27 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2016-12-06 | 2016-12-27 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-12-08 | 2016-12-27 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-12-08 | 2016-12-27 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-12-08 | 2016-12-27 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-12-08 | 2016-12-27 | N |
