Deficiency Records for Hiram W Davis Medical Ctr

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Updated as of March 01, 2024

A list of the most recent deficiencies for Hiram W Davis Medical Ctr. 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?
Ensure medical gas and vacuum systems have documented maintenance programs. Fire Safety 2022-04-11 2023-03-09 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-04-11 2023-01-10 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-04-11 2023-01-10 N
Provide a written emergency evacuation plan. Fire Safety 2022-04-11 2023-01-10 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-04-11 2023-01-10 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2022-04-11 2022-07-22 N
Use approved construction type or materials. Fire Safety 2022-04-11 2022-06-17 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2022-04-11 2022-06-17 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-04-11 2022-06-17 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-04-11 2022-06-17 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-04-11 2022-06-17 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. 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
Perform COVID19 testing on residents and staff. Health 2022-03-17 2022-04-26 N
Ensure staff are vaccinated for COVID-19 Health 2022-03-17 2022-04-26 N
Meet other general requirements that are deficient. Fire Safety 2019-04-15 2021-05-19 N
Have an enclosure around a vertical opening shaft. Fire Safety 2019-04-15 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 2019-04-15 2019-05-30 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-04-15 2019-05-30 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-04-15 2019-05-30 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-04-15 2019-05-30 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. 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
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
Respond appropriately to all alleged violations. 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
Ensure services provided by the nursing facility meet professional standards of quality. 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
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 medication error rates are not 5 percent or greater. 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
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
Provide and implement an infection prevention and control program. Health 2019-03-28 2019-05-04 N
Keep all essential equipment working safely. Health 2019-03-28 2019-05-04 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 2017-12-19 2018-03-14 N
Install an approved automatic sprinkler system. Fire Safety 2017-12-19 2018-03-14 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2017-12-19 2018-03-14 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2017-12-19 2018-03-14 N
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. Fire Safety 2017-12-19 2018-03-14 N
Use approved construction type or materials. Fire Safety 2017-12-19 2018-02-27 N
Install resident room doors of proper design and width. Fire Safety 2017-12-19 2018-02-27 N
Have an enclosure around a vertical opening shaft. Fire Safety 2017-12-19 2018-02-27 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 2017-12-19 2018-02-27 N
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Fire Safety 2017-12-19 2018-02-27 N
Install corridor and hallway doors that block smoke. Fire Safety 2017-12-19 2018-02-27 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2017-12-19 2018-02-27 N
Meet other general requirements that are deficient. Fire Safety 2017-12-19 2018-02-27 N
Provide a written emergency evacuation plan. Fire Safety 2017-12-19 2018-02-27 N
Have simulated fire drills held at unexpected times. Fire Safety 2017-12-19 2018-02-27 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2017-12-19 2018-02-27 N
Ensure proper usage of power strips and extension cords. Fire Safety 2017-12-19 2018-02-27 N
Have proper medical gas storage and administration areas. Fire Safety 2017-12-19 2018-02-27 N
Keep each resident free from physical restraints, unless needed for medical treatment. Health 2017-11-02 2017-12-28 N
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Health 2017-11-02 2017-12-28 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-04-11 Not Fixed N