Deficiency Records for Portsmouth Health and Rehab
Updated as of August 01, 2018
This is not the most recent data for Portsmouth Health and Rehab. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-01-12 | 2018-02-28 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2018-01-12 | 2018-02-28 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-01-12 | 2018-02-28 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2018-01-12 | 2018-02-28 | 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 | 2018-01-12 | 2018-02-28 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-01-12 | 2018-02-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-01-12 | 2018-02-28 | N |
| Respond appropriately to all alleged violations. | Health | 2018-01-12 | 2018-02-28 | 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 | 2018-01-12 | 2018-02-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-01-12 | 2018-02-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-01-12 | 2018-02-28 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-01-12 | 2018-02-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-01-12 | 2018-02-28 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-01-12 | 2018-02-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-01-12 | 2018-02-28 | 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 | 2018-01-12 | 2018-02-28 | 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 | 2018-01-12 | 2018-02-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-01-12 | 2018-02-28 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-01-12 | 2018-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-12 | 2018-02-28 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2018-01-12 | 2018-02-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-01-12 | 2018-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-12 | 2018-02-28 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-01-12 | 2018-02-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-27 | 2018-01-12 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-03-03 | 2017-03-24 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-03-03 | 2017-03-24 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-11-28 | 2016-12-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-11-28 | 2016-12-20 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2016-11-28 | 2016-12-20 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2016-11-28 | 2016-12-20 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2016-11-28 | 2016-12-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-11-22 | 2016-12-20 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2016-11-22 | 2016-12-20 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2016-11-22 | 2016-12-20 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-11-22 | 2016-12-20 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-11-22 | 2016-12-20 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-11-22 | 2016-12-20 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-11-22 | 2016-12-20 | N |
| Provide housekeeping and maintenance services. | Health | 2016-11-22 | 2016-12-20 | N |
| Maintain comfortable and safe temperature levels. | Health | 2016-11-22 | 2016-12-20 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-11-22 | 2016-12-20 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-11-22 | 2016-12-20 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-11-22 | 2016-12-20 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-11-22 | 2016-12-20 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-11-22 | 2016-12-20 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-11-22 | 2016-12-20 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-11-22 | 2016-12-20 | N |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2016-11-22 | 2016-12-20 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-11-22 | 2016-12-20 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-11-22 | 2016-12-20 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-11-22 | 2016-12-20 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-11-22 | 2016-12-20 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-11-22 | 2016-12-20 | N |
| Keep all essential equipment working safely. | Health | 2016-11-22 | 2016-12-20 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2016-11-22 | 2016-12-20 | N |
| Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. | Health | 2016-11-22 | 2016-12-20 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-11-22 | 2016-12-20 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-11-22 | 2016-12-20 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2016-11-22 | 2016-12-20 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2016-11-22 | 2016-12-20 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-11-22 | 2016-12-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-03-09 | 2016-04-01 | Y |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-03-09 | 2016-04-01 | Y |
| A two-hour-resistant firewall separation. | Fire Safety | 2015-08-31 | 2015-10-13 | N |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2015-08-31 | 2015-10-13 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-08-31 | 2015-10-13 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-08-31 | 2015-10-13 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2015-08-31 | 2015-10-13 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-08-13 | 2015-10-13 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-08-13 | 2015-10-13 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-08-13 | 2015-10-13 | N |
