A list of the most recent deficiencies for Rocky Mountain Care - Hunter Hollow. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-08 | 2023-11-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-06 | 2023-04-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-06 | 2023-04-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-03-06 | 2023-04-10 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-03-06 | 2023-04-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-23 | 2022-06-21 | 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 | 2022-05-23 | 2022-06-21 | 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 | 2022-05-23 | 2022-06-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-05-23 | 2022-06-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-05-23 | 2022-06-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-23 | 2022-06-21 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-05-23 | 2022-06-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-23 | 2022-06-21 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-16 | 2022-06-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-16 | 2022-06-13 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2022-05-16 | 2022-06-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-05-16 | 2022-06-10 | 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 | 2022-05-16 | 2022-06-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-16 | 2022-06-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-16 | 2022-06-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-05 | 2021-11-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-02-10 | 2020-04-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-10 | 2020-04-10 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-02-10 | 2020-04-10 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2020-02-10 | 2020-04-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-10 | 2020-04-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-02-10 | 2020-04-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-02-10 | 2020-04-10 | 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 | 2020-02-10 | 2020-04-10 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2020-02-10 | 2020-04-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-10 | 2020-04-10 | N |
| Keep all essential equipment working safely. | Health | 2020-02-10 | 2020-04-10 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-02-06 | 2020-04-06 | 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 | 2019-01-24 | 2019-03-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-01-30 | 2019-03-31 | 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 | 2019-01-30 | 2019-03-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-01-30 | 2019-03-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-01-30 | 2019-03-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-30 | 2019-03-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-30 | 2019-03-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-30 | 2019-03-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-30 | 2019-03-31 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-01-24 | 2019-02-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-24 | 2019-02-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-24 | 2019-02-28 | 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 | 2019-01-24 | 2019-02-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-01-24 | 2019-02-28 | N |
| Provide or obtain dental services for each resident. | Health | 2019-01-24 | 2019-02-28 | N |
