A list of the most recent deficiencies for Harrisonburg Hlth and Rehab Cntr. 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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-23 | 2023-09-26 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-08-23 | 2023-09-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-14 | 2022-12-22 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-11-14 | 2022-12-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-14 | 2022-12-22 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-11-14 | 2022-12-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-14 | 2022-12-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-14 | 2022-12-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-14 | 2022-12-22 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-11-14 | 2022-12-22 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-11-14 | 2022-12-22 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-11-14 | 2022-12-22 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-05-26 | 2022-06-28 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-05-26 | 2022-06-28 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-05-26 | 2022-06-28 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-05-26 | 2022-06-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-26 | 2022-06-28 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-05-26 | 2022-06-28 | 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 | 2022-05-26 | 2022-06-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-05-26 | 2022-06-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-26 | 2022-06-28 | 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 | 2022-05-26 | 2022-06-28 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-05-26 | 2022-06-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-26 | 2022-06-28 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-05-26 | 2022-06-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-05-26 | 2022-06-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-26 | 2022-06-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-26 | 2022-06-28 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-24 | 2022-04-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-24 | 2022-04-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-24 | 2022-04-08 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-08-31 | 2021-10-15 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-04-22 | 2021-06-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-22 | 2021-06-01 | 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 | 2021-04-22 | 2021-06-01 | N |
| Keep all essential equipment working safely. | Health | 2021-04-22 | 2021-06-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-04-22 | 2021-06-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-22 | 2021-06-01 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-04-22 | 2021-06-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-22 | 2021-06-01 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-04-28 | 2021-05-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-28 | 2021-05-10 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2021-04-28 | 2021-05-10 | N |
| Use approved construction type or materials. | Fire Safety | 2019-05-17 | 2019-06-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-05-17 | 2019-06-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-17 | 2019-06-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-17 | 2019-06-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-05-17 | 2019-06-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-17 | 2019-06-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-05-17 | 2019-06-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-17 | 2019-06-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-02 | 2019-06-04 | 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 | 2019-05-02 | 2019-06-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-05-02 | 2019-06-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-05-02 | 2019-06-04 | N |
| Respond appropriately to all alleged violations. | Health | 2019-05-02 | 2019-06-04 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-05-02 | 2019-06-04 | 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 | 2019-05-02 | 2019-06-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-02 | 2019-06-04 | N |
| Provide appropriate foot care. | Health | 2019-05-02 | 2019-06-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-02 | 2019-06-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-05-02 | 2019-06-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-02 | 2019-06-04 | 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 | 2019-05-02 | 2019-06-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-05-02 | 2019-06-04 | 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 | 2019-05-02 | 2019-06-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-02 | 2019-06-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-05-02 | 2019-06-04 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-05-02 | 2019-06-04 | N |
