A list of the most recent deficiencies for Holzer Senior Care 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? |
|---|---|---|---|---|
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-09-14 | 2023-10-10 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-09-14 | 2023-10-10 | 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 | 2023-09-14 | 2023-10-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-09-14 | 2023-10-10 | 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 | 2023-09-14 | 2023-10-10 | N |
| Provide or obtain dental services for each resident. | Health | 2023-09-14 | 2023-10-10 | 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 | 2023-09-14 | 2023-10-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-18 | 2021-11-12 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-10-18 | 2021-11-12 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-10-18 | 2021-11-12 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-10-18 | 2021-11-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-18 | 2021-11-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-18 | 2021-11-12 | 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 | 2021-10-18 | 2021-11-12 | 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 | 2021-10-18 | 2021-11-12 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-10-18 | 2021-11-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-18 | 2021-11-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-10-18 | 2021-11-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-10-13 | 2021-11-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-13 | 2021-11-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-06 | 2019-07-02 | 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 | 2019-06-06 | 2019-07-02 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-06-06 | 2019-07-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-06 | 2019-07-02 | N |
| Provide activities to meet all resident's needs. | Health | 2019-06-06 | 2019-07-02 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2019-06-06 | 2019-07-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-06 | 2019-07-02 | 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 | 2019-06-06 | 2019-07-02 | 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 | 2019-06-06 | 2019-07-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-06 | 2019-07-02 | 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 | 2019-06-06 | 2019-07-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-06 | 2019-07-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-06 | 2019-07-02 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2019-06-03 | 2019-07-02 | N |
