A list of the most recent deficiencies for Ahc Lewis County. 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? |
---|---|---|---|---|
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-15 | 2023-11-30 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-15 | 2023-11-30 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-15 | 2023-11-30 | 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 | 2023-11-15 | 2023-11-30 | Y |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-11-15 | 2023-11-30 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-11-15 | 2023-11-30 | Y |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-11-15 | 2023-11-30 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-26 | 2023-11-30 | Y |
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2023-09-26 | 2023-11-30 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-01 | 2023-11-30 | Y |
Respond appropriately to all alleged violations. | Health | 2023-06-01 | 2023-11-30 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-01 | 2023-11-30 | Y |
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-06-01 | 2023-06-21 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-01 | 2023-06-21 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-01 | 2023-06-21 | 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 | 2023-06-01 | 2023-06-21 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-01 | 2023-06-21 | Y |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-06-01 | 2023-06-21 | Y |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-06-01 | 2023-06-21 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-06-01 | 2023-06-21 | Y |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-05-01 | 2023-06-16 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-01 | 2023-05-08 | 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 | 2023-05-01 | 2023-05-02 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-01 | 2023-05-02 | N |
Provide and implement an infection prevention and control program. | Health | 2021-06-23 | 2021-08-02 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-21 | 2021-07-30 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-21 | 2021-07-30 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-06-21 | 2021-07-30 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-23 | 2021-07-07 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-06-23 | 2021-07-07 | 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 | 2021-06-23 | 2021-07-07 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-23 | 2021-07-07 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-23 | 2021-07-07 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-09 | 2021-06-09 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-07 | 2021-05-21 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-14 | 2019-11-26 | N |
Provide and implement an infection prevention and control program. | Health | 2019-11-14 | 2019-11-26 | N |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-06-01 | Not Fixed | Y |