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Deficiency Records for Hermitage Nursing and Rehabilitation

View the most recent health deficiencies and inspection results for Hermitage Nursing and Rehabilitation. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Hermitage Nursing and Rehabilitation. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-12-04 2026-01-14 N
Establish emergency prep training and testing. Fire Safety 2025-12-04 2026-01-14 N
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2025-12-04 2025-12-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-12-04 2025-12-05 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2025-09-18 2025-10-13 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-11-15 2024-12-31 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 2024-11-15 2024-12-31 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2024-11-15 2024-12-31 N
Provide properly protected cooking facilities. Fire Safety 2024-11-15 2024-12-31 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-11-15 2024-12-31 N
Have power receptacles that are properly grounded. Fire Safety 2024-11-15 2024-12-31 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-11-15 2024-12-31 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 2024-03-21 2024-04-17 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-07 2024-03-06 Y
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-12-21 2024-02-13 N
Conduct testing and exercise requirements. Fire Safety 2023-12-21 2024-02-13 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-12-21 2024-02-13 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-12-21 2024-02-13 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-12-21 2024-02-13 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-12-21 2024-01-30 N
Provide activities to meet all resident's needs. Health 2023-12-21 2024-01-30 N
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 2023-12-21 2024-01-30 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 2023-12-21 2024-01-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-12-21 2024-01-30 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 2023-12-21 2024-01-30 Y
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 2023-08-08 2023-10-07 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-08 2023-10-07 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 2023-08-08 2023-10-07 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-06-02 2023-07-17 Y

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