A list of the most recent deficiencies for Gill Odd Fellows Home of Vermont. 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-01-11 | 2023-02-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-11 | 2023-02-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-11 | 2023-02-06 | N |
| Keep all essential equipment working safely. | Health | 2023-01-11 | 2023-02-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-01-09 | 2023-01-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-01-09 | 2023-01-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-09 | 2023-01-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-29 | 2022-04-15 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-29 | 2022-04-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-30 | 2021-10-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-30 | 2021-10-31 | 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 | 2021-09-30 | 2021-10-31 | 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 | 2021-09-30 | 2021-10-31 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-09-30 | 2021-10-28 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-09-30 | 2021-10-28 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-09-30 | 2021-10-28 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2021-09-30 | 2021-10-28 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-09-30 | 2021-10-28 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-09-30 | 2021-10-28 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-09-30 | 2021-10-28 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-09-30 | 2021-10-28 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-09-30 | 2021-10-28 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-09-30 | 2021-10-28 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-09-30 | 2021-10-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-30 | 2021-10-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-30 | 2021-10-14 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-09-30 | 2021-10-14 | N |
| Post nurse staffing information every day. | Health | 2021-09-30 | 2021-09-30 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-09-30 | 2021-09-30 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-09-30 | 2021-09-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-24 | Not Fixed | N |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-01-24 | Not Fixed | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-01-24 | Not Fixed | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-01-24 | Not Fixed | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-24 | Not Fixed | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-24 | Not Fixed | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-24 | Not Fixed | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2024-01-24 | Not Fixed | N |
| 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 | 2024-01-24 | Not Fixed | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-24 | Not Fixed | N |
