Deficiency Records for Smoky Mountain Post-Acute and Rehabilitation Cente
Updated as of March 01, 2024
A list of the most recent deficiencies for Smoky Mountain Post-Acute and Rehabilitation Cente. 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? |
|---|---|---|---|---|
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-01-18 | 2023-02-08 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-01-18 | 2023-02-08 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-01-18 | 2023-02-08 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-15 | 2022-06-23 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-05-31 | 2022-06-15 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-05-25 | 2022-06-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-25 | 2022-06-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-25 | 2022-06-11 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-03-17 | 2022-05-04 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-03-17 | 2022-05-04 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-17 | 2022-05-04 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-17 | 2022-05-04 | 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 | 2022-03-17 | 2022-05-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-17 | 2022-05-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-17 | 2022-05-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-17 | 2022-05-04 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-17 | 2022-05-04 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-03-17 | 2022-05-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-14 | 2021-11-15 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-06-14 | 2021-07-16 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-06-14 | 2021-07-13 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-06-14 | 2021-07-08 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-09-11 | 2019-10-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-11 | 2019-10-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-11 | 2019-10-19 | 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 | 2019-09-11 | 2019-10-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-11 | 2019-10-19 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-09-11 | 2019-10-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-09 | 2019-10-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-09-09 | 2019-10-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-09-19 | 2018-10-20 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-09-19 | 2018-10-20 | 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 | 2018-09-19 | 2018-10-20 | 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 | 2018-09-19 | 2018-10-20 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2018-09-19 | 2018-10-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-19 | 2018-10-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-19 | 2018-10-20 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-09-19 | 2018-10-20 | 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 | 2018-09-19 | 2018-10-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-09-19 | 2018-10-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-09-19 | 2018-10-20 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-09-19 | 2018-10-20 | N |
