Deficiency Records for James River Nursing and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for James River Nursing and Rehabilitation Center. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-14 | 2023-07-31 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-05 | 2023-01-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-05 | 2023-01-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-01 | 2023-01-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-12-01 | 2023-01-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-01 | 2023-01-16 | N |
| Respond appropriately to all alleged violations. | Health | 2022-12-01 | 2023-01-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-01 | 2023-01-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-01 | 2023-01-16 | N |
| Provide or obtain dental services for each resident. | Health | 2022-12-01 | 2023-01-16 | N |
| 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 | 2022-12-01 | 2023-01-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-12-01 | 2023-01-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-01 | 2023-01-16 | N |
| Dispose of garbage and refuse properly. | Health | 2022-12-01 | 2023-01-16 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-12-01 | 2023-01-16 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-12-01 | 2023-01-16 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-12-01 | 2023-01-16 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-12-01 | 2023-01-16 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-12-01 | 2023-01-16 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-12-01 | 2023-01-16 | N |
| Meet other general requirements. | Fire Safety | 2019-05-14 | 2019-09-18 | 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 | 2019-05-14 | 2019-09-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-05-14 | 2019-07-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-14 | 2019-07-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-14 | 2019-07-31 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-05-14 | 2019-07-31 | 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 | 2019-04-18 | 2019-05-17 | 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 | 2019-04-18 | 2019-05-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-18 | 2019-05-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-04-18 | 2019-05-17 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2019-04-18 | 2019-05-17 | 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 | 2019-04-18 | 2019-05-17 | 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 | 2019-04-18 | 2019-05-17 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2019-04-18 | 2019-05-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-18 | 2019-05-17 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-04-18 | 2019-05-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-09-14 | 2017-10-10 | N |
