A list of the most recent deficiencies for Porthaven Healthcare 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? |
|---|---|---|---|---|
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-01-04 | 2024-03-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-04 | 2024-02-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-04 | 2024-02-14 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-01-04 | 2024-02-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-04 | 2024-02-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-04 | 2024-02-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-07 | 2024-02-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-31 | 2023-08-25 | 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 | 2023-07-31 | 2023-08-25 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-31 | 2023-08-25 | Y |
| 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 | 2023-05-05 | 2023-05-22 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-05-05 | 2023-05-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-05 | 2023-05-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-05 | 2023-05-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-05 | 2023-05-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-05 | 2023-05-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-05 | 2023-05-22 | Y |
| Provide appropriate foot care. | Health | 2023-05-05 | 2023-05-22 | Y |
| 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 | 2023-05-05 | 2023-05-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-05 | 2023-05-22 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-05-05 | 2023-05-22 | 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 | 2023-05-05 | 2023-05-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-05 | 2023-05-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-05 | 2023-05-22 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-05-05 | 2023-05-22 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-05-10 | 2023-05-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-23 | 2022-04-28 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-03-15 | 2022-04-28 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-03-15 | 2022-04-28 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-03-15 | 2022-04-28 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-03-15 | 2022-04-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-03-15 | 2022-04-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-15 | 2022-04-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-15 | 2022-04-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-03-15 | 2022-04-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-15 | 2022-04-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-15 | 2022-04-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-15 | 2022-04-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-03 | 2021-12-15 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-11-03 | 2021-12-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-03 | 2021-12-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-03 | 2021-12-15 | 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 | 2021-11-03 | 2021-12-15 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-11-03 | 2021-12-15 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-03 | 2021-12-15 | 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 | 2021-11-03 | 2021-12-15 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-04-27 | 2021-05-28 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2021-04-27 | 2021-05-28 | Y |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2021-04-27 | 2021-05-28 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-04-27 | 2021-05-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-27 | 2021-05-28 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-04-27 | 2021-05-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-19 | 2019-08-28 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-07-19 | 2019-08-28 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2019-07-19 | 2019-08-28 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-07-19 | 2019-08-28 | 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 | 2019-07-19 | 2019-08-28 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-07-19 | 2019-08-28 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-07-19 | 2019-08-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-19 | 2019-08-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-19 | 2019-08-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-19 | 2019-08-28 | 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 | 2019-07-19 | 2019-08-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-19 | 2019-08-28 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-07-19 | 2019-08-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-19 | 2019-08-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-07-19 | 2019-08-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-19 | 2019-08-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-07-19 | 2019-08-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-07-19 | 2019-08-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-07-19 | 2019-08-28 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-07-19 | 2019-08-28 | 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 | 2019-07-19 | 2019-08-28 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-07-19 | 2019-08-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-19 | 2019-08-28 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-07-18 | 2019-08-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-07-18 | 2019-08-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-07-18 | 2019-08-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-18 | 2019-08-28 | N |
