A list of the most recent deficiencies for Health Care Center Lucy Corr. 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? |
|---|---|---|---|---|
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-02-07 | 2023-03-27 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2023-02-07 | 2023-03-27 | N |
| 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 | 2023-02-07 | 2023-03-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-02-07 | 2023-03-27 | N |
| 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 | 2023-02-07 | 2023-03-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-02-07 | 2023-03-27 | 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 | 2023-02-07 | 2023-03-27 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-02-07 | 2023-03-27 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-02-07 | 2023-03-27 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-02-07 | 2023-03-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-07 | 2023-03-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-07 | 2023-03-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-07 | 2023-03-27 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-02-07 | 2023-03-27 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-20 | 2023-03-07 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-05-07 | 2019-06-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-07 | 2019-06-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-05-07 | 2019-06-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-07 | 2019-06-18 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2019-05-07 | 2019-06-18 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-05-07 | 2019-06-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-07 | 2019-06-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-30 | 2019-06-11 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-04-30 | 2019-06-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-04-30 | 2019-06-11 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-04-30 | 2019-06-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-04-30 | 2019-06-11 | 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 | 2019-04-30 | 2019-06-11 | N |
| 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 | 2019-04-30 | 2019-06-11 | 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 | 2019-04-30 | 2019-06-11 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-04-30 | 2019-06-11 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-04-30 | 2019-06-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-30 | 2019-06-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-30 | 2019-06-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-04-30 | 2019-06-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-30 | 2019-06-11 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-04-30 | 2019-06-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-30 | 2019-06-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-04-30 | 2019-06-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-30 | 2019-06-11 | 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 | 2019-04-30 | 2019-06-11 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-04-30 | 2019-06-11 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2019-04-30 | 2019-06-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-30 | 2019-06-11 | 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 | 2019-04-30 | 2019-06-11 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-04-30 | 2019-06-11 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-04-30 | 2019-06-11 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-04-30 | 2019-06-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-30 | 2019-06-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-30 | 2019-06-11 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-04-10 | 2018-06-23 | 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 | 2018-04-10 | 2018-06-23 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2018-04-10 | 2018-06-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-10 | 2018-06-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-04-10 | 2018-06-23 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-04-10 | 2018-06-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-04-10 | 2018-06-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-04-10 | 2018-06-04 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-04-10 | 2018-06-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-10 | 2018-06-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-04-10 | 2018-06-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-04-10 | 2018-06-04 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2018-04-10 | 2018-06-04 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-04-10 | 2018-06-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-04-10 | 2018-06-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-10 | 2018-06-04 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-03-16 | 2018-04-18 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-03-16 | 2018-04-18 | N |
| Provide activities to meet all resident's needs. | Health | 2018-03-16 | 2018-04-18 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-03-16 | 2018-04-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-03-16 | 2018-04-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-16 | 2018-04-18 | 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 | 2018-03-16 | 2018-04-18 | N |
