Deficiency Records for Claiborne and Hughes Hlth Cntr
Updated as of November 01, 2022
This is not the most recent data for Claiborne and Hughes Hlth Cntr. For the most recent information, click here.
A list of the most recent deficiencies for Claiborne and Hughes Hlth Cntr. 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? |
---|---|---|---|---|
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-07-19 | 2021-08-30 | N |
Ensure each resident receives an accurate assessment. | Health | 2021-07-19 | 2021-08-30 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-19 | 2021-08-30 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-19 | 2021-08-30 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-07-19 | 2021-08-30 | 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 | 2021-08-30 | N |
Provide and implement an infection prevention and control program. | Health | 2021-07-19 | 2021-08-30 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-19 | 2021-08-30 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-07-19 | 2021-08-30 | Y |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-07-19 | 2021-08-30 | Y |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-07-19 | 2021-08-30 | Y |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-07-19 | 2021-08-30 | Y |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-07-19 | 2021-08-30 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-08-29 | 2020-10-07 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-08-29 | 2020-10-07 | Y |
Respond appropriately to all alleged violations. | Health | 2020-08-29 | 2020-10-07 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-08-29 | 2020-10-07 | Y |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-11-18 | 2020-01-22 | N |
Create arrangements with other facilities to receive patients. | Fire Safety | 2019-11-18 | 2020-01-22 | N |
List the names and contact information of those in the facility. | Fire Safety | 2019-11-18 | 2020-01-22 | N |
Provide primary/alternate means for communication. | Fire Safety | 2019-11-18 | 2020-01-22 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-11-18 | 2020-01-22 | N |
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 | 2019-11-18 | 2020-01-22 | N |
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2019-11-18 | 2020-01-22 | N |
Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-11-18 | 2020-01-22 | N |
Have exits that are accessible at all times. | Fire Safety | 2019-11-18 | 2020-01-22 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-11-18 | 2020-01-22 | 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 | 2019-11-18 | 2020-01-22 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-11-18 | 2020-01-22 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-18 | 2020-01-22 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-18 | 2020-01-22 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-11-18 | 2020-01-22 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-18 | 2020-01-22 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-11-18 | 2020-01-22 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-18 | 2020-01-22 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-19 | 2020-01-03 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-11-19 | 2020-01-03 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-19 | 2020-01-03 | 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 | 2019-11-19 | 2020-01-03 | N |
Put firmly secured handrails on each side of hallways. | Health | 2019-11-19 | 2020-01-03 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-19 | 2020-01-03 | Y |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-08 | 2019-02-22 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-01-08 | 2019-02-22 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-01-08 | 2019-02-22 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-01-08 | 2019-02-22 | N |
Meet requirements for the use of electrical equipment. | Fire Safety | 2019-01-08 | 2019-02-22 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-08 | 2019-02-22 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-01-10 | 2019-02-18 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-10 | 2019-02-18 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-01-10 | 2019-02-18 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-10 | 2019-02-18 | 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 | 2019-01-10 | 2019-02-18 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-01-10 | 2019-02-18 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-01-10 | 2019-02-18 | N |
Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-01-10 | 2019-02-18 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-10 | 2019-02-18 | N |
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. | Health | 2019-01-10 | 2019-02-18 | N |
Provide and implement an infection prevention and control program. | Health | 2019-01-10 | 2019-02-18 | N |
Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-01-08 | 2019-02-18 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2019-01-08 | 2019-02-18 | N |
Establish policies and procedures including evacuation. | Fire Safety | 2019-01-08 | 2019-02-18 | N |
Establish policies and procedures for sheltering. | Fire Safety | 2019-01-08 | 2019-02-18 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2019-01-08 | 2019-02-18 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-01-08 | 2019-02-18 | N |
Establish methods for sharing information. | Fire Safety | 2019-01-08 | 2019-02-18 | N |
Provide family notifications of emergency plan. | Fire Safety | 2019-01-08 | 2019-02-18 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-01-08 | 2019-02-18 | N |
Implement emergency and standby power systems. | Fire Safety | 2019-01-08 | 2019-02-18 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-01-08 | 2019-02-18 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-01-08 | 2019-02-18 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2019-01-08 | 2019-02-18 | 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 | 2019-01-08 | 2019-02-18 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-01-08 | 2019-02-18 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-01-08 | 2019-02-18 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-08 | 2019-02-18 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-01-08 | 2019-02-18 | N |