Deficiency Records for Hermitage Nursing and Rehabilitation
Updated as of September 01, 2018
This is not the most recent data for Hermitage Nursing and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Hermitage Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Meet other general requirements. | Fire Safety | 2017-08-23 | 2017-09-15 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2017-08-23 | 2017-09-15 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2017-08-23 | 2017-09-15 | 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 | 2017-08-23 | 2017-09-15 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2017-08-23 | 2017-09-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-08-23 | 2017-09-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-08-23 | 2017-09-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-08-23 | 2017-09-15 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-08-17 | 2017-09-15 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-08-17 | 2017-09-15 | N |
| Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. | Health | 2017-08-17 | 2017-09-15 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-08-17 | 2017-09-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-17 | 2017-09-15 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2017-08-17 | 2017-09-15 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-06-19 | 2017-06-30 | Y |
| Operate and provide services according to Federal, State, and local laws and professional standards. | Health | 2017-06-19 | 2017-06-30 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-06-19 | 2017-06-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-04-26 | 2017-06-25 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-04-26 | 2017-06-25 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-08-05 | 2016-09-08 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-07-15 | 2016-08-05 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-07-15 | 2016-08-05 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-07-15 | 2016-08-05 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-07-15 | 2016-08-05 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-07-15 | 2016-08-05 | N |
| Have enough backup water supply for essential areas of the nursing home. | Health | 2016-07-15 | 2016-08-05 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-07-15 | 2016-08-05 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-07-15 | 2016-08-05 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-07-20 | 2016-08-04 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2016-07-20 | 2016-08-04 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-07-20 | 2016-08-04 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2016-07-20 | 2016-08-04 | N |
| Properly maintained smoke detectors. | Fire Safety | 2016-07-20 | 2016-08-04 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-07-20 | 2016-08-04 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-07-20 | 2016-08-04 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-07-20 | 2016-08-04 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-07-20 | 2016-08-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2016-07-20 | 2016-08-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-06-16 | 2016-07-29 | Y |
| Give notice to the resident before a room or roommate change. | Health | 2016-06-16 | 2016-07-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-16 | 2016-07-29 | Y |
| Post nurse staffing information/data on a daily basis. | Health | 2016-06-16 | 2016-07-29 | Y |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-06-16 | 2016-07-29 | Y |
| Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. | Health | 2016-04-15 | 2016-05-25 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-04-15 | 2016-05-25 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-04-15 | 2016-05-25 | Y |
| Post nurse staffing information/data on a daily basis. | Health | 2016-04-15 | 2016-05-25 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2015-12-09 | 2016-01-21 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-12-09 | 2016-01-21 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-12-09 | 2016-01-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-12-09 | 2016-01-21 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-08-12 | 2015-09-03 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-08-12 | 2015-09-03 | N |
| Restrictions on the use of portable space heaters. | Fire Safety | 2015-08-12 | 2015-09-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-08-07 | 2015-09-03 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-08-07 | 2015-09-03 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-08-07 | 2015-09-03 | N |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2015-08-07 | 2015-09-03 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-08-07 | 2015-09-03 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-08-07 | 2015-09-03 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-08-07 | 2015-09-03 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2015-08-07 | 2015-09-03 | N |
