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Deficiency Records for Martinsville Health and Rehab

View the most recent health deficiencies and inspection results for Martinsville Health and Rehab. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Martinsville Health and Rehab. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Install an approved automatic sprinkler system. Fire Safety 2026-01-15 2026-04-02 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 2026-01-15 2026-02-24 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2026-01-15 2026-02-24 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2026-01-15 2026-02-24 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2026-01-15 2026-02-24 N
Ensure each resident receives an accurate assessment. Health 2026-01-15 2026-02-24 N
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Health 2026-01-15 2026-02-24 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2026-01-15 2026-02-24 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 2026-01-15 2026-02-24 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2026-01-15 2026-02-24 N
Reasonably accommodate the needs and preferences of each resident. Health 2026-01-15 2026-02-24 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2026-01-15 2026-02-24 N
Provide activities to meet all resident's needs. Health 2026-01-15 2026-02-24 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2026-01-15 2026-02-24 Y
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2026-01-15 2026-02-24 N
Provide and implement an infection prevention and control program. Health 2026-01-15 2026-02-24 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2026-01-15 2026-02-24 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2026-01-15 2026-02-24 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2026-01-15 2026-02-24 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2026-01-15 2026-02-24 N
Ensure that residents are free from significant medication errors. Health 2024-01-31 2024-04-19 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-01-31 2024-04-19 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-01-31 2024-04-19 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-01-31 2024-04-19 Y
Respond appropriately to all alleged violations. Health 2024-01-31 2024-04-19 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-01-31 2024-04-19 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-01-31 2024-04-19 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-01-31 2024-04-19 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-06-15 2022-08-22 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-06-15 2022-08-22 N
Provide a written emergency evacuation plan. Fire Safety 2022-06-15 2022-08-22 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-06-15 2022-08-22 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-06-15 2022-08-22 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-06-15 2022-08-22 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-06-15 2022-08-22 N
Properly install and monitor supervisory attachments on automatic sprinkler systems. Fire Safety 2022-06-15 2022-08-22 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-06-15 2022-08-22 N
Provide properly protected cooking facilities. Fire Safety 2022-06-15 2022-08-22 N
Have properly located and lighted "Exit" signs. Fire Safety 2022-06-15 2022-08-22 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 2022-06-15 2022-08-22 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-06-15 2022-07-12 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2022-06-15 2022-07-12 N
Ensure medication error rates are not 5 percent or greater. Health 2022-06-15 2022-07-12 N
Post nurse staffing information every day. Health 2022-06-15 2022-07-12 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-06-15 2022-07-12 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2022-06-15 2022-07-12 N
Ensure each resident receives an accurate assessment. Health 2022-06-15 2022-07-12 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-06-15 2022-07-12 N
Provide and implement an infection prevention and control program. Health 2019-10-18 2020-03-15 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2019-10-18 2020-03-15 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-10-18 2020-03-15 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-10-18 2020-03-15 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-10-18 2020-03-15 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 2019-10-18 2020-03-15 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2019-10-18 2020-02-26 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 2019-10-18 2020-02-26 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2019-10-18 2020-02-26 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2019-10-18 2020-01-03 N
Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor. Health 2019-10-18 2020-01-03 N
Provide or get specialized rehabilitative services as required for a resident. Health 2019-10-18 2020-01-03 N
Provide or obtain dental services for each resident. Health 2019-10-18 2020-01-03 N
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2019-10-18 2020-01-03 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 2019-10-18 2020-01-03 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2019-10-18 2020-01-03 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2019-10-18 2020-01-03 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2019-10-18 2020-01-03 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2019-10-18 2020-01-03 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2019-10-18 2020-01-03 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-10-18 2020-01-03 N
Reasonably accommodate the needs and preferences of each resident. Health 2019-10-18 2020-01-03 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-10-18 2020-01-03 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2019-10-18 2020-01-03 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2019-10-18 2020-01-03 N
Respond appropriately to all alleged violations. Health 2019-10-18 2020-01-03 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 2019-10-18 2020-01-03 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-10-18 2020-01-03 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 2019-10-18 2020-01-03 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2019-10-18 2020-01-03 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2019-10-18 2020-01-03 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2019-10-18 2020-01-03 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-10-18 2020-01-03 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 2019-10-18 2020-01-03 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-10-18 2020-01-03 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2019-10-18 2019-12-12 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2019-10-18 2019-12-12 N
Have properly located and lighted "Exit" signs. Fire Safety 2019-10-18 2019-12-12 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 2019-10-18 2019-12-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-10-18 2019-12-12 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-10-18 2019-12-12 N

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