Deficiency Records for Inman Operations
Updated as of August 01, 2020
This is not the most recent data for Inman Operations. For the most recent information, click here.
A list of the most recent deficiencies for Inman Operations. 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 policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-05-30 | 2019-06-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-05-30 | 2019-06-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-05-30 | 2019-06-30 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-03-13 | 2019-04-13 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-03-07 | 2019-04-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-03-07 | 2019-04-07 | 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 | 2019-03-07 | 2019-04-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-03-07 | 2019-04-07 | 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 | 2019-03-07 | 2019-04-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-07 | 2019-04-07 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-03-07 | 2019-04-07 | 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 | 2019-03-07 | 2019-04-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-03-07 | 2019-04-07 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2018-08-01 | 2018-10-19 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-08-01 | 2018-10-19 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2018-08-01 | 2018-10-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-08-01 | 2018-10-19 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2018-08-01 | 2018-10-19 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-08-01 | 2018-10-19 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2018-08-01 | 2018-10-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-08-01 | 2018-10-19 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-08-01 | 2018-10-19 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2018-08-01 | 2018-10-19 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2018-04-17 | 2018-05-18 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-04-17 | 2018-05-18 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-04-17 | 2018-05-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-04-17 | 2018-05-18 | 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 | 2018-04-17 | 2018-05-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-17 | 2018-05-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-04-17 | 2018-05-18 | N |
| 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 | 2017-11-09 | 2017-12-18 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2017-02-17 | 2017-03-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-02-17 | 2017-03-17 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-02-09 | 2017-03-10 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-02-09 | 2017-03-10 | N |
| Maintain comfortable sound levels. | Health | 2017-02-09 | 2017-03-10 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-02-09 | 2017-03-10 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-09 | 2017-03-10 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-02-09 | 2017-03-10 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-02-09 | 2017-03-10 | N |
| Provide or obtain dental services for each resident. | Health | 2017-02-09 | 2017-03-10 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-02-09 | 2017-03-10 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-02-09 | 2017-03-10 | N |
