A list of the most recent deficiencies for Logan Elm Health 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2023-12-28 | 2024-01-05 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2022-04-04 | 2022-05-23 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-03-28 | 2022-05-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-28 | 2022-05-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-28 | 2022-05-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-28 | 2022-05-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-28 | 2022-05-23 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-03-28 | 2022-05-23 | 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 | 2019-06-06 | 2019-07-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-06 | 2019-07-12 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-06-06 | 2019-07-12 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-06-06 | 2019-07-12 | 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 | 2019-06-06 | 2019-07-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-10 | 2019-07-12 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-06-10 | 2019-07-12 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-06-10 | 2019-07-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-10 | 2019-07-12 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2019-06-10 | 2019-07-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-05-17 | 2018-07-11 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-05-17 | 2018-07-11 | N |
| Respond appropriately to all alleged violations. | Health | 2018-05-17 | 2018-07-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-05-17 | 2018-07-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-17 | 2018-07-11 | 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 | 2018-05-17 | 2018-07-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-17 | 2018-07-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-05-17 | 2018-07-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-17 | 2018-07-11 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-05-17 | 2018-07-11 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-05-17 | 2018-07-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-05-17 | 2018-07-11 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2018-05-17 | 2018-07-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-05-17 | 2018-07-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-05-17 | 2018-07-11 | N |
