Deficiency Records for Lebanon Veterans Home
Updated as of May 01, 2024
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Deficiency Records for Lebanon Veterans Home
A list of the most recent deficiencies for Lebanon Veterans Home. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Lebanon Veterans 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? |
---|---|---|---|---|
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-21 | 2023-07-31 | Y |
Respond appropriately to all alleged violations. | Health | 2023-06-21 | 2023-07-31 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-27 | 2023-04-21 | Y |
Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-01-30 | 2023-03-15 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-30 | 2023-03-15 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-30 | 2023-03-15 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-01-30 | 2023-03-15 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-30 | 2023-03-15 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-01-30 | 2023-03-15 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-30 | 2023-03-15 | N |
Have restrictions on the use of portable space heaters. | Fire Safety | 2023-01-30 | 2023-03-15 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-01-30 | 2023-03-15 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-30 | 2023-03-15 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-01-30 | 2023-03-14 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-30 | 2023-03-14 | N |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-01-30 | 2023-03-14 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-30 | 2023-03-14 | N |
Provide activities to meet all resident's needs. | Health | 2023-01-30 | 2023-03-14 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-30 | 2023-03-14 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-18 | 2022-12-07 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-18 | 2022-11-25 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-29 | 2022-09-25 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-29 | 2022-09-25 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-29 | 2022-09-25 | 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 | 2022-07-29 | 2022-09-25 | Y |
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2022-07-29 | 2022-09-10 | Y |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-07-29 | 2022-09-02 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-21 | 2021-09-07 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-21 | 2021-09-07 | Y |
Respond appropriately to all alleged violations. | Health | 2021-07-21 | 2021-09-07 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-21 | 2021-09-07 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-21 | 2021-09-07 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2021-07-21 | 2021-09-07 | Y |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-07-21 | 2021-09-07 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-10-07 | 2019-12-01 | 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 | 2019-10-07 | 2019-12-01 | N |
Provide activities to meet all resident's needs. | Health | 2019-10-07 | 2019-12-01 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-07 | 2019-12-01 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-03 | 2019-11-15 | N |
Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-02-26 | 2018-04-24 | N |
Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-02-26 | 2018-04-24 | N |
Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-02-26 | 2018-04-24 | N |
Establish policies and procedures including evacuation. | Fire Safety | 2018-02-26 | 2018-04-24 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-02-26 | 2018-04-24 | N |
Conduct testing and exercise requirements. | Fire Safety | 2018-02-26 | 2018-04-24 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-02-26 | 2018-04-24 | N |
Provide and implement an infection prevention and control program. | Health | 2018-03-05 | 2018-04-20 | 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 | 2018-03-05 | 2018-04-13 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-05 | 2018-04-13 | 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 | 2018-03-05 | 2018-04-13 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-05 | 2018-04-06 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-03-05 | 2018-04-02 | N |
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