A list of the most recent deficiencies for Palestine Healthcare 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-30 | 2024-02-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-30 | 2024-02-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-01-30 | 2024-02-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-29 | 2023-12-26 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-11-29 | 2023-12-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-29 | 2023-12-26 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-11-29 | 2023-12-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-29 | 2023-12-26 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-11-29 | 2023-12-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-29 | 2023-12-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-26 | 2023-10-27 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-26 | 2023-10-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-26 | 2023-10-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-26 | 2023-10-27 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-08-09 | 2023-08-10 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-09 | 2023-08-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-28 | 2023-08-10 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-06-28 | 2023-08-10 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-28 | 2023-08-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-28 | 2023-06-29 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-06-28 | 2023-06-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-28 | 2023-06-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-28 | 2023-06-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-10 | 2023-02-21 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-10 | 2023-02-21 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-22 | 2022-09-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-22 | 2022-09-16 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-08-22 | 2022-09-16 | 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 | 2022-08-22 | 2022-09-16 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-08-22 | 2022-09-16 | N |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2022-08-22 | 2022-09-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-22 | 2022-09-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-08-22 | 2022-09-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-22 | 2022-09-16 | 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 | 2022-08-22 | 2022-09-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-22 | 2022-09-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-22 | 2022-09-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-22 | 2022-09-16 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-08-22 | 2022-09-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-08-22 | 2022-09-16 | 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 | 2022-08-22 | 2022-09-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-22 | 2022-09-16 | 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 | 2022-08-22 | 2022-09-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-22 | 2022-09-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-22 | 2022-09-16 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-08-22 | 2022-09-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-22 | 2022-09-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-22 | 2022-09-16 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-08-22 | 2022-09-16 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-08-02 | 2022-09-16 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-08-02 | 2022-09-16 | 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 | 2022-08-02 | 2022-09-16 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-08-02 | 2022-09-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-02 | 2022-09-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-02 | 2022-09-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-01-06 | 2022-01-20 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-29 | 2021-07-29 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-06-29 | 2021-07-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-29 | 2021-07-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-29 | 2021-07-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-29 | 2021-07-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-06-29 | 2021-07-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-06-29 | 2021-07-27 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-06-29 | 2021-07-27 | 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 | 2021-06-29 | 2021-07-27 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-06-29 | 2021-07-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-29 | 2021-07-27 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-06-29 | 2021-07-27 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-06-29 | 2021-07-27 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-05-21 | 2021-06-10 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-01-30 | Not Fixed | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-02 | Not Fixed | N |
