A list of the most recent deficiencies for Pocopson 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? |
|---|---|---|---|---|
| Meet other general requirements. | Fire Safety | 2023-04-12 | 2023-06-01 | N |
| Use approved construction type or materials. | Fire Safety | 2023-04-12 | 2023-06-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-12 | 2023-06-01 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-04-12 | 2023-06-01 | 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 | 2023-04-12 | 2023-06-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-12 | 2023-06-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-12 | 2023-06-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-12 | 2023-06-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-12 | 2023-06-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-12 | 2023-06-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-12 | 2023-06-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-27 | 2023-05-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-27 | 2023-05-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-27 | 2023-05-14 | 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 | 2023-04-27 | 2023-05-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-10 | 2022-08-22 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-25 | 2022-06-17 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-05-04 | 2022-05-24 | N |
| Use approved construction type or materials. | Fire Safety | 2022-05-04 | 2022-05-24 | 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 | 2022-05-04 | 2022-05-24 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-05-04 | 2022-05-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-04 | 2022-05-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-04 | 2022-05-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-04 | 2022-05-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-05-04 | 2022-05-24 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-05-04 | 2022-05-24 | N |
| Meet other general requirements. | Fire Safety | 2021-06-03 | 2021-08-02 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2021-06-03 | 2021-08-02 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-06-03 | 2021-08-02 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-06-03 | 2021-08-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-03 | 2021-08-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-03 | 2021-08-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-06-03 | 2021-08-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-03 | 2021-08-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-05-20 | 2021-06-03 | 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 | 2021-05-20 | 2021-06-01 | 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 | 2021-05-20 | 2021-06-01 | N |
