A list of the most recent deficiencies for Norton Community Hospital Snf Unit. 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 | 2021-04-29 | 2021-06-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-29 | 2021-06-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-29 | 2021-06-18 | 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 | 2021-04-29 | 2021-06-18 | 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 | 2021-04-29 | 2021-06-18 | 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 | 2021-04-29 | 2021-06-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-29 | 2021-06-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-29 | 2021-06-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-12 | 2021-06-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-12 | 2021-06-01 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-05-12 | 2021-06-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-05-12 | 2021-06-01 | N |
| Use approved construction type or materials. | Fire Safety | 2018-10-11 | 2018-11-30 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-09-06 | 2018-10-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-09-06 | 2018-10-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-09-06 | 2018-10-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-09-06 | 2018-10-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-09-06 | 2018-10-05 | 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 | 2018-09-06 | 2018-10-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-06 | 2018-10-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-06-08 | 2017-07-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-06-08 | 2017-07-21 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-06-08 | 2017-07-21 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-06-08 | 2017-07-21 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-06-08 | 2017-07-21 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-06-08 | 2017-07-21 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-06-08 | 2017-07-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-06-08 | 2017-07-21 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-08 | 2017-07-21 | 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 | 2017-06-08 | 2017-07-21 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-06-08 | 2017-07-21 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-06-08 | 2017-07-21 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-08 | 2017-07-21 | N |
| Dispose of garbage and refuse properly. | Health | 2017-06-08 | 2017-07-21 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-06-08 | 2017-07-21 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-06-08 | 2017-07-21 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-08 | 2017-07-21 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2017-06-08 | 2017-07-21 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-06-08 | 2017-07-21 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-06-08 | 2017-07-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-06-08 | 2017-07-21 | N |
| Use approved construction type or materials. | Fire Safety | 2017-06-22 | Not Fixed | N |
