Deficiency Records for Church of God Home, Inc
Updated as of May 01, 2024
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Deficiency Records for Church of God Home, Inc
A list of the most recent deficiencies for Church of God Home, Inc. 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 Church of God Home, Inc. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-05 | 2023-06-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-05 | 2023-06-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-05 | 2023-06-22 | N |
| Meet other general requirements. | Fire Safety | 2023-04-18 | 2023-06-17 | N |
| Use approved construction type or materials. | Fire Safety | 2023-04-18 | 2023-06-17 | 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 | 2023-04-18 | 2023-06-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-05 | 2023-05-23 | 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 | 2023-04-05 | 2023-05-23 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-04-05 | 2023-05-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-05 | 2023-05-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-05 | 2023-05-23 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-04-05 | 2023-05-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-28 | 2022-06-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-28 | 2022-06-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-28 | 2022-06-09 | 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 | 2022-04-28 | 2022-06-09 | 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 | 2022-04-28 | 2022-06-09 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-04-28 | 2022-06-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-28 | 2022-06-09 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-04-06 | 2022-06-01 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-04-06 | 2022-06-01 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2022-04-06 | 2022-06-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-06 | 2022-06-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-04-29 | 2021-05-31 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-04-29 | 2021-05-31 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-04-29 | 2021-05-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-04-29 | 2021-05-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-04-29 | 2021-05-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-29 | 2021-05-31 | 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 | 2021-04-29 | 2021-05-31 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-04-29 | 2021-05-31 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-04-29 | 2021-05-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-29 | 2021-05-31 | N |
| 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 | 2021-04-29 | 2021-05-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-29 | 2021-05-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-29 | 2021-05-31 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2021-04-29 | 2021-05-31 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-04-29 | 2021-05-31 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-04-29 | 2021-05-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-29 | 2021-05-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-29 | 2021-05-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-29 | 2021-05-31 | N |
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