Deficiency Records for Signature Healthcare of Norfolk
Updated as of April 01, 2021
This is not the most recent data for Signature Healthcare of Norfolk. For the most recent information, click here.
A list of the most recent deficiencies for Signature Healthcare of Norfolk. 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? |
---|---|---|---|---|
Provide and implement an infection prevention and control program. | Health | 2020-08-18 | 2020-09-15 | N |
Provide and implement an infection prevention and control program. | Health | 2020-06-11 | 2020-07-01 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-24 | 2020-01-05 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-24 | 2020-01-05 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-24 | 2020-01-05 | Y |
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 | 2019-10-24 | 2019-12-08 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-10-24 | 2019-12-08 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-10-24 | 2019-12-08 | 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 | 2019-10-24 | 2019-12-08 | N |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-10-24 | 2019-12-08 | N |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-10-24 | 2019-12-08 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-24 | 2019-12-08 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2019-10-24 | 2019-12-08 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-10-24 | 2019-12-08 | N |
Post nurse staffing information every day. | Health | 2019-10-24 | 2019-12-08 | N |
Ensure that residents are free from significant medication errors. | Health | 2019-10-24 | 2019-12-08 | N |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-10-24 | 2019-12-08 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-10-24 | 2019-12-08 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-10-24 | 2019-12-08 | N |
Provide and implement an infection prevention and control program. | Health | 2019-10-24 | 2019-12-08 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-10-24 | 2019-12-08 | N |
Honor the resident's right to manage his or her financial affairs. | Health | 2019-10-24 | 2019-12-08 | Y |
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-10-24 | 2019-12-08 | 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 | 2019-10-24 | 2019-12-08 | Y |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-10-24 | 2019-12-08 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-10-24 | 2019-12-08 | Y |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-10-24 | 2019-12-08 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-24 | 2019-12-08 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-24 | 2019-12-08 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-24 | 2019-12-08 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-24 | 2019-12-08 | Y |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-10-24 | 2019-12-08 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-10-24 | 2019-11-21 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-03 | 2018-09-19 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2018-08-03 | 2018-09-19 | 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 | 2018-07-13 | 2018-08-31 | Y |
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 | 2018-08-30 | 2018-08-31 | Y |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-07-13 | 2018-08-08 | N |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-07-13 | 2018-08-08 | N |
Address patient/client population and determine types of services needed. | Fire Safety | 2018-07-13 | 2018-08-08 | N |
Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-07-13 | 2018-08-08 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2018-07-13 | 2018-08-08 | N |
Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-07-13 | 2018-08-08 | N |
Establish policies and procedures for sheltering. | Fire Safety | 2018-07-13 | 2018-08-08 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-07-13 | 2018-08-08 | N |
Provide family notifications of emergency plan. | Fire Safety | 2018-07-13 | 2018-08-08 | N |
Establish emergency prep training and testing. | Fire Safety | 2018-07-13 | 2018-08-08 | N |
Establish staff and initial training requirements. | Fire Safety | 2018-07-13 | 2018-08-08 | N |
Implement emergency and standby power systems. | Fire Safety | 2018-07-13 | 2018-08-08 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-07-13 | 2018-08-08 | 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 | 2018-07-13 | 2018-08-08 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-07-13 | 2018-08-08 | Y |
Ensure each resident receives an accurate assessment. | Health | 2018-07-13 | 2018-08-08 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-13 | 2018-08-08 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-13 | 2018-08-08 | Y |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-02-03 | 2017-03-03 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-02-03 | 2017-03-03 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-03 | 2017-03-03 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-02-03 | 2017-03-03 | N |
Put firmly secured handrails on each side of hallways. | Health | 2017-02-03 | 2017-03-03 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-02-03 | 2017-03-03 | N |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-02-03 | 2017-01-04 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-12 | Not Fixed | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-12 | Not Fixed | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-12 | Not Fixed | Y |