Most Recent Deficiencies for CLAIBORNE AND HUGHES HLTH CNTR

Updated as of April 01, 2020

The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

The tables below are too small to fit on a phone. More information can be seen using a larger device such as a tablet, laptop, or desktop computer.

Deficiency Deficiency Date
Conduct risk assessment and an All-Hazards approach. 2019-11-18
Create arrangements with other facilities to receive patients. 2019-11-18
List the names and contact information of those in the facility. 2019-11-18
Provide primary/alternate means for communication. 2019-11-18
Keep aisles, corridors, and exits free of obstruction in case of emergency. 2019-11-18
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. 2019-11-18
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. 2019-11-18
Have corridors or aisles that are unobstructed and are at least 8 feet in width. 2019-11-18
Have exits that are accessible at all times. 2019-11-18
Have protected exits that allow the resident to escape the building. 2019-11-18
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. 2019-11-18
Provide properly protected cooking facilities. 2019-11-18
Have approved installation, maintenance and testing program for fire alarm systems. 2019-11-18
Inspect, test, and maintain automatic sprinkler systems. 2019-11-18
Properly select, install, inspect, or maintain portable fire extinguishes. 2019-11-18
Have properly installed electrical wiring and gas equipment. 2019-11-18
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. 2019-11-18
Ensure proper usage of power strips and extension cords. 2019-11-18
Include a process for Emergency Preparedness collaboration. 2019-01-08
Address subsistence needs for staff and patients. 2019-01-08
Establish policies and procedures including evacuation. 2019-01-08
Establish policies and procedures for sheltering. 2019-01-08
Establish policies and procedures for volunteers. 2019-01-08
Establish roles under a Waiver declared by secretary. 2019-01-08
Establish methods for sharing information. 2019-01-08
Provide family notifications of emergency plan. 2019-01-08
Conduct testing and exercise requirements. 2019-01-08
Implement emergency and standby power systems. 2019-01-08
Keep aisles, corridors, and exits free of obstruction in case of emergency. 2019-01-08
Install emergency lighting that can last at least 1 1/2 hours. 2019-01-08
Have properly located and lighted "Exit" signs. 2019-01-08
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. 2019-01-08
Provide properly protected cooking facilities. 2019-01-08
Have approved installation, maintenance and testing program for fire alarm systems. 2019-01-08
Inspect, test, and maintain automatic sprinkler systems. 2019-01-08
Properly select, install, inspect, or maintain portable fire extinguishes. 2019-01-08
Install corridor and hallway doors that block smoke. 2019-01-08
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 2019-01-08
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. 2019-01-08
Be properly staffed 2019-01-08
Meet other general requirements that are deficient. 2019-01-08
Ensure proper usage of power strips and extension cords. 2019-01-08
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. 2018-01-30
Have approved installation, maintenance and testing program for fire alarm systems. 2018-01-30
Inspect, test, and maintain automatic sprinkler systems. 2018-01-30
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 2018-01-30
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. 2018-01-30
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. 2019-07-11
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. 2019-11-19
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. 2019-11-19
Ensure medication error rates are not 5 percent or greater. 2019-11-19
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. 2019-11-19
Put firmly secured handrails on each side of hallways. 2019-11-19
Provide care and assistance to perform activities of daily living for any resident who is unable. 2019-11-19
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. 2019-01-10
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. 2019-01-10
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted 2019-01-10
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 2019-01-10
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. 2019-01-10
Provide appropriate pressure ulcer care and prevent new ulcers from developing. 2019-01-10
Provide safe, appropriate dialysis care/services for a resident who requires such services. 2019-01-10
Provide routine and 24-hour emergency dental care for each resident. 2019-01-10
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. 2019-01-10
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. 2019-01-10
Provide and implement an infection prevention and control program. 2019-01-10
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 2017-05-10
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. 2017-05-10
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 2017-05-10
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 2017-05-10
Allow residents the right to participate in the planning or revision of care and treatment. 2017-05-10
Ensure services provided by the nursing facility meet professional standards of quality. 2017-05-10
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 2017-05-10
Post nurse staffing information/data on a daily basis. 2017-05-10
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 2017-05-10
Keep residents' personal and medical records private and confidential. 2018-01-31
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. 2018-01-31
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. 2018-01-31
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. 2018-01-31
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. 2018-01-31