Deficiency Records for Smith County Health and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Smith County Health and Rehabilitation. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-04 | 2022-06-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-04 | 2022-06-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-26 | 2019-10-24 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-09-26 | 2019-10-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-26 | 2019-10-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-09-25 | 2019-10-07 | 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 | 2019-09-25 | 2019-09-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-25 | 2019-09-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-25 | 2019-09-27 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-09-24 | 2018-11-29 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-09-24 | 2018-11-29 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-09-24 | 2018-11-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-26 | 2018-10-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-09-24 | 2018-10-15 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-09-24 | 2018-10-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-09-24 | 2018-10-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-24 | 2018-10-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-09-24 | 2018-10-15 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-08-02 | 2017-08-24 | N |
| Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. | Health | 2017-08-02 | 2017-08-24 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-02 | 2017-08-24 | 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 | 2017-07-31 | 2017-08-24 | N |
