Deficiency Records for Church Hill Post-Acute and Rehabilitation Center
Updated as of August 01, 2018
This is not the most recent data for Church Hill Post-Acute and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Church Hill Post-Acute and Rehabilitation Center. 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 appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-04-18 | 2018-05-18 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-04-18 | 2018-05-18 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-04-18 | 2018-05-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-04-18 | 2018-05-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-18 | 2018-05-18 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2018-04-18 | 2018-05-18 | Y |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-04-17 | 2018-05-14 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-04-17 | 2018-05-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-17 | 2018-05-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-04-17 | 2018-04-18 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-04-17 | 2018-04-17 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-07-19 | 2017-08-10 | Y |
| 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. | Health | 2017-07-19 | 2017-08-10 | Y |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2017-02-27 | 2017-04-14 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-01 | 2017-04-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-02-27 | 2017-03-31 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-02-07 | 2017-03-27 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-02-07 | 2017-03-27 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-02-27 | 2017-03-17 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-05-24 | 2016-06-24 | Y |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-02-16 | 2016-03-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-02-23 | 2016-03-19 | N |
| 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. | Health | 2016-02-23 | 2016-03-19 | N |
| 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. | Health | 2016-02-23 | 2016-03-19 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-02-23 | 2016-03-19 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-02-23 | 2016-03-19 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-02-23 | 2016-03-19 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-23 | 2016-03-19 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-02-23 | 2016-03-19 | N |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2016-02-16 | 2016-03-16 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2016-02-03 | 2016-03-16 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-02-03 | 2016-03-16 | Y |
| Keep all essential equipment working safely. | Health | 2016-02-03 | 2016-03-16 | Y |
