A list of the most recent deficiencies for Drumright Nursing Home. 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-05-23 | 2023-05-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-23 | 2023-05-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-23 | 2023-05-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-23 | 2023-05-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-23 | 2023-05-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-30 | 2023-05-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-30 | 2023-05-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-30 | 2023-05-30 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-03-30 | 2023-05-30 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-03-30 | 2023-05-30 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-03-30 | 2023-05-30 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-11-23 | 2022-01-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-23 | 2022-01-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-07-08 | 2021-08-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-03-10 | 2021-08-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-10 | 2021-04-16 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-02 | 2019-09-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-07-08 | 2019-08-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-07-08 | 2019-08-16 | 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 | 2019-07-08 | 2019-08-16 | 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 | 2019-07-08 | 2019-08-16 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2019-07-08 | 2019-08-16 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-07-08 | 2019-08-16 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-07-02 | 2019-08-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-02 | 2019-08-16 | 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 | 2019-07-02 | 2019-08-16 | 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 | 2019-07-02 | 2019-08-16 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-07-02 | 2019-08-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-07-02 | 2019-08-16 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-05-09 | 2018-06-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-05-09 | 2018-06-12 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-05-09 | 2018-06-12 | 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 | 2018-05-09 | 2018-06-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-05-09 | 2018-06-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-09 | 2018-06-12 | 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 | 2018-05-09 | 2018-06-12 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-05-09 | 2018-06-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-05-09 | 2018-06-12 | 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 | 2018-05-09 | 2018-06-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-09 | 2018-06-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-09 | 2018-06-12 | 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 | 2018-05-09 | 2018-06-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-09 | 2018-06-12 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-05-09 | 2018-06-12 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-05-02 | 2018-06-12 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-05-02 | 2018-06-12 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-05-02 | 2018-06-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-05-02 | 2018-06-12 | 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 | 2018-05-02 | 2018-06-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-05-02 | 2018-06-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-05-02 | 2018-06-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-05-02 | 2018-06-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-02 | 2018-06-04 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-05-02 | 2018-05-23 | N |
| Have an externally vented heating system. | Fire Safety | 2018-05-02 | Not Fixed | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2018-05-02 | Not Fixed | N |
