Deficiency Records for Hawthorn Glen Nursing Center
Updated as of July 01, 2019
This is not the most recent data for Hawthorn Glen Nursing Center. For the most recent information, click here.
A list of the most recent deficiencies for Hawthorn Glen Nursing 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? |
|---|---|---|---|---|
| Address subsistence needs for staff and patients. | Fire Safety | 2018-10-01 | 2018-11-21 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-10-01 | 2018-11-21 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-10-01 | 2018-11-21 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-10-01 | 2018-11-21 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-10-01 | 2018-11-21 | N |
| Develop a communication plan. | Fire Safety | 2018-10-01 | 2018-11-21 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-10-01 | 2018-11-21 | 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 | 2018-10-01 | 2018-11-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-01 | 2018-11-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-01 | 2018-11-21 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2018-10-01 | 2018-11-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-04 | 2018-11-21 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2018-10-04 | 2018-11-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-04 | 2018-11-21 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-06-25 | 2018-07-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-25 | 2018-07-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-25 | 2018-07-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-06-25 | 2018-07-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-06-06 | 2018-07-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-04-19 | 2018-07-19 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2018-04-19 | 2018-07-19 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-02-07 | 2018-03-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-02-07 | 2018-03-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-07 | 2018-03-29 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2018-02-07 | 2018-03-29 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-08-03 | 2017-10-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-08-01 | 2017-10-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-08-01 | 2017-10-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-08-01 | 2017-10-02 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-08-03 | 2017-10-02 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-03 | 2017-10-02 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-06-07 | 2016-07-28 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-06-07 | 2016-07-28 | N |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2016-06-07 | 2016-07-28 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-06-07 | 2016-07-28 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-06-09 | 2016-07-28 | N |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2016-06-09 | 2016-07-28 | N |
| Provide or obtain dental services for each resident. | Health | 2016-06-09 | 2016-07-28 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-06-09 | 2016-07-28 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-06-09 | 2016-07-28 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-06-09 | 2016-07-28 | N |
