A list of the most recent deficiencies for Community Health Care of Gore. 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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-11-15 | 2023-12-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-15 | 2023-12-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-15 | 2023-12-08 | N |
| Respond appropriately to all alleged violations. | Health | 2023-11-15 | 2023-12-08 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-11-15 | 2023-12-08 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-11-15 | 2023-12-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-15 | 2023-12-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-15 | 2023-12-08 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-11-15 | 2023-12-08 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2023-11-15 | 2023-12-08 | 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 | 2023-11-15 | 2023-12-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-11-15 | 2023-12-08 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-11-15 | 2023-12-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-15 | 2023-12-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-15 | 2023-12-08 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-11-15 | 2023-12-08 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-03-08 | 2023-04-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-03-08 | 2023-04-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-08 | 2023-04-28 | 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 | 2023-03-08 | 2023-04-28 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-08-04 | 2022-08-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-08-04 | 2022-08-22 | 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 | 2022-08-04 | 2022-08-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-04 | 2022-08-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-04 | 2022-08-22 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-08-04 | 2022-08-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-04 | 2022-08-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-04 | 2022-08-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-04 | 2022-08-22 | Y |
| Meet other general requirements. | Fire Safety | 2022-08-03 | 2022-08-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-08-03 | 2022-08-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-03-03 | 2021-03-29 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-03-03 | 2021-03-29 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-03-03 | 2021-03-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-03-03 | 2021-03-29 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-03-03 | 2021-03-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-03 | 2021-03-29 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-10 | 2019-11-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-08 | 2019-11-14 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-10-10 | 2019-11-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-10 | 2019-11-07 | N |
| Respond appropriately to all alleged violations. | Health | 2019-10-10 | 2019-11-07 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-10-10 | 2019-11-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-10-10 | 2019-11-07 | 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 | 2019-10-10 | 2019-11-07 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-10-10 | 2019-11-07 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-10-10 | 2019-11-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-08 | 2019-11-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-08 | 2019-11-07 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-08-13 | 2018-09-14 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-08-13 | 2018-09-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-08-13 | 2018-09-14 | 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 | 2018-08-13 | 2018-09-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-13 | 2018-09-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-13 | 2018-09-14 | N |
