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Deficiency Records for Hiram W Davis Medical Ctr
View the most recent health deficiencies and inspection results for Hiram W Davis Medical Ctr. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Hiram W Davis Medical Ctr. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2026-02-12 | 2026-03-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-02-12 | 2026-03-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-12 | 2026-03-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-02-12 | 2026-03-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2026-02-12 | 2026-03-27 | 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 | 2026-02-12 | 2026-03-06 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2022-03-17 | 2023-03-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-17 | 2023-01-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-17 | 2023-01-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-03-17 | 2023-01-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-17 | 2023-01-10 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-03-17 | 2022-07-22 | N |
| Use approved construction type or materials. | Fire Safety | 2022-03-17 | 2022-06-17 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-03-17 | 2022-06-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-17 | 2022-06-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-17 | 2022-06-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-17 | 2022-06-17 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-17 | 2022-04-26 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-03-17 | 2022-04-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-03-17 | 2022-04-26 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-03-17 | 2022-04-26 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-03-28 | 2021-05-19 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-03-28 | 2019-05-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-28 | 2019-05-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-28 | 2019-05-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-28 | 2019-05-30 | 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 | 2019-03-28 | 2019-05-30 | N |
| Keep all essential equipment working safely. | Health | 2019-03-28 | 2019-05-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-28 | 2019-05-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-28 | 2019-05-04 | 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 | 2019-03-28 | 2019-05-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-28 | 2019-05-04 | 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 | 2019-03-28 | 2019-05-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-03-28 | 2019-05-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-03-28 | 2019-05-04 | 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 | 2019-03-28 | 2019-05-04 | N |
| Respond appropriately to all alleged violations. | Health | 2019-03-28 | 2019-05-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-28 | 2019-05-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-03-28 | 2019-05-04 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-03-28 | 2019-05-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-03-17 | Not Fixed | N |