A list of the most recent deficiencies for Reelfoot Manor Health and Rehab. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-19 | 2022-06-30 | N |
| 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. | Health | 2022-05-19 | 2022-06-30 | N |
| Respond appropriately to all alleged violations. | Health | 2022-05-19 | 2022-06-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-19 | 2022-06-30 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-05-19 | 2022-06-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-19 | 2022-06-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-19 | 2022-06-30 | 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 | 2022-05-19 | 2022-06-30 | 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 | 2022-05-19 | 2022-06-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-19 | 2022-06-30 | 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 | 2022-05-19 | 2022-06-30 | 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 | 2022-05-19 | 2022-06-30 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-05-19 | 2022-06-30 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-05-19 | 2022-06-30 | 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 | 2020-01-15 | 2020-02-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-15 | 2020-02-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-13 | 2020-02-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-06 | 2019-04-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-03-06 | 2019-04-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-06 | 2019-04-20 | N |
| Respond appropriately to all alleged violations. | Health | 2019-03-06 | 2019-04-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-06 | 2019-04-20 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-03-06 | 2019-04-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-06 | 2019-04-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-06 | 2019-04-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-03-06 | 2019-04-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-06 | 2019-04-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-06 | 2019-04-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-03-04 | 2019-04-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-03-04 | 2019-04-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-03-04 | 2019-04-20 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-03-04 | 2019-04-20 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-03-04 | 2019-04-20 | N |
| Develop a communication plan. | Fire Safety | 2019-03-04 | 2019-04-20 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-03-04 | 2019-04-20 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-03-04 | 2019-04-20 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-03-04 | 2019-04-20 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-03-04 | 2019-04-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-04 | 2019-04-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-04 | 2019-04-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-03-04 | 2019-04-20 | N |
