Deficiency Records for Henryetta Community Skilled Healthcare and Rehab
Updated as of March 01, 2024
A list of the most recent deficiencies for Henryetta Community Skilled Healthcare and Rehab. 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2022-10-31 | 2022-12-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-31 | 2022-12-26 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-10-31 | 2022-12-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-31 | 2022-12-26 | 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 | 2022-10-31 | 2022-12-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-31 | 2022-12-26 | 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 | 2022-10-31 | 2022-12-26 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2022-10-31 | 2022-12-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-31 | 2022-12-26 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-10-31 | 2022-12-26 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-11-02 | 2022-12-26 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-11-02 | 2022-12-26 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-11-02 | 2022-12-26 | 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 | 2022-11-02 | 2022-12-26 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-11-02 | 2022-12-26 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-07-06 | 2021-09-29 | 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 | 2021-07-06 | 2021-09-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-07-06 | 2021-09-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-06 | 2021-09-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-06 | 2021-09-29 | 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 | 2021-07-06 | 2021-09-29 | 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 | 2021-07-06 | 2021-09-29 | 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 | 2021-07-06 | 2021-09-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-06 | 2021-09-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-30 | 2021-09-29 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-06-30 | 2021-09-29 | 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 | 2021-06-30 | 2021-09-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-30 | 2021-09-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-06-30 | 2021-09-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-06-30 | 2021-09-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-06-30 | 2021-09-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-03 | 2019-06-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-04-03 | 2019-05-15 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-04-03 | 2019-05-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-04-03 | 2019-05-03 | N |
