CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Smiths Mill Health Campus
View the most recent health deficiencies and inspection results for Smiths Mill Health Campus. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Smiths Mill Health Campus. Stay informed about quality of care issues.
| 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 | 2026-02-18 | 2026-03-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-18 | 2026-03-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-18 | 2026-03-16 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2026-02-18 | 2026-03-16 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2026-02-18 | 2026-03-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-02-18 | 2026-03-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-02-18 | 2026-03-16 | Y |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-07-17 | 2025-08-06 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-04-09 | 2025-04-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-17 | 2025-03-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-25 | 2025-03-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-25 | 2025-03-17 | Y |
| 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 | 2025-02-25 | 2025-03-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-01-17 | 2025-03-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-17 | 2025-03-17 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-09 | 2024-11-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-09 | 2024-11-05 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-10-09 | 2024-11-05 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-10-09 | 2024-11-05 | Y |
| 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 | 2024-10-09 | 2024-11-05 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-10-09 | 2024-11-05 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-10-09 | 2024-11-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-09 | 2024-11-05 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-10-09 | 2024-11-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-10-09 | 2024-11-05 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-10-09 | 2024-11-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-10-09 | 2024-11-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-09 | 2024-11-05 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-10-09 | 2024-11-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-07 | 2024-08-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-03 | 2024-08-23 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-07-03 | 2024-08-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-03 | 2024-08-23 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-08-07 | 2024-08-23 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-06 | 2023-08-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-06 | 2023-08-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-06 | 2023-08-04 | N |
| Provide activities to meet all resident's needs. | Health | 2023-07-06 | 2023-08-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-06 | 2023-08-04 | 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 | 2023-07-06 | 2023-08-04 | 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 | 2023-07-06 | 2023-08-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-06 | 2023-08-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-06 | 2023-08-04 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-07-06 | 2023-08-04 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-04-30 | Not Fixed | Y |