A list of the most recent deficiencies for Redstone Highlands Health Care. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-18 | 2024-02-09 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-05-12 | 2023-06-19 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-24 | 2023-06-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-05-24 | 2023-06-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-24 | 2023-06-19 | 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 | 2023-05-24 | 2023-06-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-24 | 2023-06-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-24 | 2023-06-19 | N |
| Provide activities to meet all resident's needs. | Health | 2023-05-24 | 2023-06-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-24 | 2023-06-19 | 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 | 2023-05-24 | 2023-06-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-24 | 2023-06-19 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-05-24 | 2023-06-19 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-05-24 | 2023-06-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-24 | 2023-06-19 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-05-24 | 2023-06-19 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-05-24 | 2023-06-19 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-05-10 | 2023-06-05 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-05-10 | 2023-06-05 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-05-10 | 2023-06-05 | 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 | 2023-05-10 | 2023-06-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-10 | 2023-06-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-10 | 2023-06-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-10 | 2023-06-05 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-05-10 | 2023-06-05 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-05-10 | 2023-06-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-10 | 2023-06-05 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-05-10 | 2023-06-05 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-07-06 | 2022-08-15 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-07-06 | 2022-08-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-06 | 2022-08-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-06 | 2022-08-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-06 | 2022-08-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-29 | 2022-07-29 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-06-23 | 2022-07-18 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-06-23 | 2022-07-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-06-23 | 2022-07-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-23 | 2022-07-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-06-23 | 2022-07-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-23 | 2022-03-08 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-19 | 2021-08-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-07-19 | 2021-08-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-19 | 2021-08-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-19 | 2021-08-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-19 | 2021-08-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-19 | 2021-08-10 | 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 | 2021-07-19 | 2021-08-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-19 | 2021-08-10 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-07-19 | 2021-08-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-19 | 2021-08-10 | N |
