A list of the most recent deficiencies for River Run Healthcare of Portsmouth. 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? |
|---|---|---|---|---|
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-27 | 2023-09-13 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-12 | 2022-07-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-05-12 | 2022-07-21 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-05-12 | 2022-07-06 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-05-12 | 2022-07-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-12 | 2022-07-06 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-05-12 | 2022-07-06 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-05-16 | 2022-07-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-05-16 | 2022-07-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-16 | 2022-07-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-16 | 2022-07-05 | 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 | 2022-05-16 | 2022-07-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-16 | 2022-07-05 | 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 | 2022-05-16 | 2022-07-05 | 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 | 2022-05-16 | 2022-07-05 | 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 | 2022-05-16 | 2022-07-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-05-16 | 2022-07-05 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-05-16 | 2022-07-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-23 | 2021-12-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-13 | 2020-03-13 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2020-02-13 | 2020-03-13 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2020-02-13 | 2020-03-13 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-02-13 | 2020-03-13 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-02-13 | 2020-03-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-13 | 2020-03-13 | N |
| Provide activities to meet all resident's needs. | Health | 2020-02-13 | 2020-03-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-13 | 2020-03-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-13 | 2020-03-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-02-13 | 2020-03-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-13 | 2020-03-13 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-02-13 | 2020-03-13 | 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 | 2020-02-13 | 2020-03-13 | 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 | 2020-02-13 | 2020-03-13 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2020-02-13 | 2020-03-13 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2020-02-13 | 2020-03-13 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2020-02-13 | 2020-03-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-13 | 2020-03-13 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2020-02-13 | 2020-03-13 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-02-13 | 2020-03-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-02-13 | 2020-03-13 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-02-10 | 2020-03-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-10 | 2020-03-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-10 | 2020-03-13 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2020-02-13 | 2020-03-06 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2018-12-19 | 2019-01-18 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-12-19 | 2019-01-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-12-19 | 2019-01-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-12-19 | 2019-01-18 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-12-19 | 2019-01-18 | N |
| Develop a communication plan. | Fire Safety | 2018-12-17 | 2019-01-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-12-17 | 2019-01-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-12-17 | 2019-01-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-12-17 | 2019-01-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-17 | 2019-01-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-12-17 | 2019-01-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-12-17 | 2019-01-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-12-17 | 2019-01-18 | N |
