A list of the most recent deficiencies for Holladay 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? |
---|---|---|---|---|
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-08 | 2023-10-09 | Y |
Respond appropriately to all alleged violations. | Health | 2023-09-08 | 2023-10-09 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-08 | 2023-10-09 | Y |
Ensure that residents are free from significant medication errors. | Health | 2023-09-08 | 2023-10-09 | Y |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-09-08 | 2023-10-09 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-08 | 2023-10-09 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-08 | 2023-10-09 | Y |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-11 | 2023-10-09 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-12 | 2022-05-12 | Y |
Ensure staff are vaccinated for COVID-19 | Health | 2022-04-12 | 2022-05-12 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-16 | 2022-02-07 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-16 | 2022-02-07 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-16 | 2022-02-07 | 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 | 2021-12-16 | 2022-02-07 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-12-16 | 2022-02-07 | N |
Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | Health | 2021-12-16 | 2022-02-07 | N |
Provide and implement an infection prevention and control program. | Health | 2021-12-16 | 2022-02-07 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-12-14 | 2022-02-04 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-14 | 2022-02-04 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-12-14 | 2022-02-04 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-14 | 2022-02-04 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2019-10-01 | 2019-11-29 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-10-01 | 2019-11-29 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-09-25 | 2019-11-15 | 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 | 2019-09-25 | 2019-11-15 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-09-25 | 2019-11-15 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-25 | 2019-11-15 | N |