Deficiency Records for The Jefferson
Updated as of October 01, 2021
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? |
---|---|---|---|---|
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 | 2021-08-20 | 2021-09-21 | 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 | 2021-08-20 | 2021-09-21 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-08-12 | 2021-09-14 | N |
Post nurse staffing information every day. | Health | 2021-08-12 | 2021-09-14 | 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 | 2021-08-12 | 2021-09-14 | N |
Dispose of garbage and refuse properly. | Health | 2021-08-12 | 2021-09-14 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-12 | 2021-09-14 | N |
Provide and implement an infection prevention and control program. | Health | 2020-06-19 | 2020-07-20 | N |
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 necessary and PRN use is limited. | 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 |