A list of the most recent deficiencies for Johns Island Post Acute. 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? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-15 | 2023-04-25 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-12-15 | 2023-03-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-15 | 2023-03-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-15 | 2023-03-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-15 | 2023-01-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-14 | 2022-12-29 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-05-21 | 2021-07-02 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-05-21 | 2021-07-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-21 | 2021-07-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-05-21 | 2021-07-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-21 | 2021-07-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-21 | 2021-07-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-21 | 2021-07-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-21 | 2021-07-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-21 | 2021-07-02 | N |
| Post nurse staffing information every day. | Health | 2021-05-21 | 2021-07-02 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-05-21 | 2021-07-02 | 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 | 2021-05-21 | 2021-07-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-21 | 2021-07-02 | 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 | 2021-05-21 | 2021-07-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-21 | 2021-07-02 | 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 | 2021-05-21 | 2021-07-02 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-21 | 2021-07-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-05-20 | 2019-06-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-05-20 | 2019-06-21 | N |
| Respond appropriately to all alleged violations. | Health | 2019-05-20 | 2019-06-21 | 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 | 2019-05-20 | 2019-06-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-20 | 2019-06-21 | 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 | 2019-05-20 | 2019-06-21 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2019-05-20 | 2019-06-21 | N |
