A list of the most recent deficiencies for Portsmouth Health and Rehab. 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2021-05-28 | 2021-09-17 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-05-28 | 2021-09-17 | 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 | 2021-05-28 | 2021-09-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-28 | 2021-09-17 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-05-28 | 2021-09-17 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-05-28 | 2021-09-17 | Y |
| 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 | 2021-05-28 | 2021-09-17 | Y |
| 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 | 2021-05-28 | 2021-09-17 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-05-28 | 2021-09-17 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-28 | 2021-09-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-28 | 2021-09-17 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-05-28 | 2021-09-17 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-05-28 | 2021-09-17 | Y |
| Have proper power supply for life support equipment. | Fire Safety | 2021-06-02 | 2021-06-10 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-06-02 | 2021-06-10 | 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 | 2019-02-07 | 2019-04-17 | N |
| Meet other general requirements. | Fire Safety | 2019-02-13 | 2019-04-02 | 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 | 2019-02-13 | 2019-04-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-13 | 2019-04-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-02-13 | 2019-04-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-13 | 2019-04-02 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-02-07 | 2019-03-09 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-02-07 | 2019-03-09 | 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 | 2019-02-07 | 2019-03-09 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-02-07 | 2019-03-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-07 | 2019-03-09 | 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 | 2019-02-07 | 2019-03-09 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-02-07 | 2019-03-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-02-07 | 2019-03-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-07 | 2019-03-09 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-02-07 | 2019-03-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-07 | 2019-03-09 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-02-07 | 2019-03-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-07 | 2019-03-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-02-07 | 2019-03-09 | N |
| Meet other general requirements. | Fire Safety | 2017-08-08 | 2017-10-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-08-08 | 2017-10-02 | 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 | 2017-08-08 | 2017-10-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-08-08 | 2017-10-02 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-08-08 | 2017-10-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-08-08 | 2017-10-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-08-08 | 2017-10-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-08-08 | 2017-10-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-08-08 | 2017-10-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-08-08 | 2017-10-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-08-08 | 2017-10-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-08-08 | 2017-10-02 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-08-08 | 2017-10-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-08-08 | 2017-10-02 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2017-08-08 | 2017-10-02 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-08-08 | 2017-10-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-08-08 | 2017-10-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-08-08 | 2017-10-02 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-07-13 | 2017-08-13 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2017-07-13 | 2017-08-13 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-07-13 | 2017-08-13 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-07-13 | 2017-08-13 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2017-07-13 | 2017-08-13 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-07-13 | 2017-08-13 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-07-13 | 2017-08-13 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2017-07-13 | 2017-08-13 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-13 | 2017-08-13 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-07-13 | 2017-08-13 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-07-13 | 2017-08-13 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-13 | 2017-08-13 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-07-13 | 2017-08-13 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-07-13 | 2017-08-13 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-07-13 | 2017-08-13 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-07-13 | 2017-08-13 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-13 | 2017-08-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-07-13 | 2017-08-13 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-07-13 | 2017-08-13 | N |
