A list of the most recent deficiencies for Five Counties Nursing 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? |
|---|---|---|---|---|
| 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 | 2023-12-06 | 2024-01-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-06 | 2024-01-20 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-12-06 | 2024-01-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-06 | 2024-01-20 | 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 | 2023-12-06 | 2024-01-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-12-06 | 2024-01-20 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-12-06 | 2024-01-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-12-06 | 2024-01-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-05 | 2024-01-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-12-05 | 2024-01-04 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-11-03 | 2022-12-23 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2022-11-03 | 2022-12-23 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-11-02 | 2022-12-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-02 | 2022-12-01 | 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 | 2022-11-02 | 2022-12-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-11-02 | 2022-12-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-09 | 2022-07-22 | Y |
| 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 | 2021-05-06 | 2021-06-02 | 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 | 2021-05-06 | 2021-06-02 | N |
