A list of the most recent deficiencies for Portsmouth Health and Rehab. 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 | 2023-10-05 | 2023-11-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-05 | 2023-11-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-05 | 2023-11-10 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-10-05 | 2023-11-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-05 | 2023-11-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-03 | 2023-11-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-03 | 2023-11-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-03-14 | 2022-04-13 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-14 | 2022-04-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-14 | 2022-04-13 | 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 | 2022-03-14 | 2022-04-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-14 | 2022-04-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-14 | 2022-04-13 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-03-14 | 2022-04-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-14 | 2022-04-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-14 | 2022-04-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-14 | 2022-04-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-14 | 2022-04-13 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-03-08 | 2022-04-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-08 | 2022-04-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-08 | 2022-04-13 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2022-03-08 | 2022-04-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-08 | 2022-04-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-02 | 2022-02-18 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-02-02 | 2022-02-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-02 | 2022-02-18 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-01-09 | 2020-01-23 | 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 | 2020-01-09 | 2020-01-23 | 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 | 2020-01-09 | 2020-01-23 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2020-01-09 | 2020-01-23 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2020-01-06 | 2020-01-23 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2020-01-06 | 2020-01-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-06 | 2020-01-23 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2021-07-30 | Not Fixed | Y |
