Deficiency Records for The Jefferson
Updated as of July 01, 2019
This is not the most recent data for The Jefferson. For the most recent information, click here.
A list of the most recent deficiencies for The Jefferson. 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 each resident receives an accurate assessment. | Health | 2019-03-06 | 2019-04-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-06 | 2019-04-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-06 | 2019-04-18 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2018-02-27 | 2018-03-27 | 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 | 2018-02-27 | 2018-03-27 | 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 | 2018-02-27 | 2018-03-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-02-27 | 2018-03-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-02-27 | 2018-03-27 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-02-02 | 2018-03-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-02-02 | 2018-03-16 | 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 | 2018-02-02 | 2018-03-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-02-02 | 2018-03-16 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-02-02 | 2018-03-16 | 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 | 2018-02-02 | 2018-03-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-02-02 | 2018-03-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-02 | 2018-03-16 | 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 | 2018-02-02 | 2018-03-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-02-02 | 2018-03-16 | 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 ne | Health | 2018-02-02 | 2018-03-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-02 | 2018-03-16 | N |
| Dispose of garbage and refuse properly. | Health | 2018-02-02 | 2018-03-16 | 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 | 2017-02-21 | 2017-04-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-02-21 | 2017-04-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-02-21 | 2017-04-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-02-21 | 2017-04-20 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-02-21 | 2017-04-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-02-21 | 2017-04-20 | 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 | 2017-02-09 | 2017-03-23 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-02-09 | 2017-03-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-02-09 | 2017-03-01 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2017-02-09 | 2017-03-01 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-02-09 | 2017-03-01 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-02-09 | 2017-02-20 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-02-09 | 2017-02-20 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-09 | 2017-02-20 | Y |
