Deficiency Records for Circleville Post-Acute

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Updated as of April 01, 2024

A list of the most recent deficiencies for Circleville Post-Acute. 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?
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2022-09-26 2022-10-19 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-09-26 2022-10-19 N
Assist a resident in gaining access to vision and hearing services. Health 2022-09-26 2022-10-19 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-26 2022-10-19 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-09-26 2022-10-19 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-09-26 2022-10-19 N
Provide and implement an infection prevention and control program. Health 2022-09-26 2022-10-19 N
Ensure medication error rates are not 5 percent or greater. Health 2022-09-26 2022-10-19 Y
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 2022-09-19 2022-10-19 N
Provide properly protected cooking facilities. Fire Safety 2022-09-19 2022-10-19 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-09-19 2022-10-19 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-09-19 2022-10-19 N
Have proper medical gas storage and administration areas. Fire Safety 2022-09-19 2022-10-19 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-02-15 2022-03-10 Y
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2020-01-02 2020-02-20 N
Provide appropriate foot care. Health 2020-01-02 2020-02-20 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2020-01-02 2020-02-20 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2019-12-30 2020-02-20 N
Install an approved automatic sprinkler system. Fire Safety 2019-12-30 2020-02-20 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2019-12-30 2020-02-20 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-12-30 2020-02-20 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-12-30 2020-02-20 N
Have restrictions on the use of portable space heaters. Fire Safety 2019-12-30 2020-02-20 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-12-30 2020-02-20 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 2018-11-15 2018-12-28 N
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. Health 2018-11-15 2018-12-28 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2018-11-15 2018-12-28 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-11-15 2018-12-28 N
Install an approved automatic sprinkler system. Fire Safety 2018-11-14 2018-12-28 N
Ensure operating rooms are properly protected and written records are maintained and available for inspection. Fire Safety 2018-11-14 2018-12-28 N