Deficiency Records for Hiram W Davis Medical Ctr
Updated as of July 01, 2020
This is not the most recent data for Hiram W Davis Medical Ctr. For the most recent information, click here.
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 services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-16 | 2019-11-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-16 | 2019-11-30 | Y |
| Have protected exits that allow the resident to escape the building. | 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 |
| 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 |
| 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 protected exits that allow the resident to escape the building. | 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 |
| 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 other general requirements that are deficient. | 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 |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-10-26 | 2016-12-15 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-10-26 | 2016-12-15 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2016-10-26 | 2016-12-15 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-10-26 | 2016-12-15 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-10-26 | 2016-12-15 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2016-10-06 | 2016-10-28 | N |
| 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 | 2016-10-06 | 2016-10-28 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-10-06 | 2016-10-28 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-10-06 | 2016-10-28 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-10-06 | 2016-10-28 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-10-06 | 2016-10-28 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-10-06 | 2016-10-28 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-10-06 | 2016-10-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-04-15 | Not Fixed | N |
