A list of the most recent deficiencies for Rockwood South Hill. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-16 | 2023-11-01 | Y |
| 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 | 2023-08-03 | 2023-09-12 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-08-03 | 2023-09-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-03 | 2023-09-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-03 | 2023-09-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-03 | 2023-09-12 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-08-03 | 2023-09-12 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-08-03 | 2023-09-12 | 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 | 2023-08-03 | 2023-09-12 | 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 | 2023-08-03 | 2023-09-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-03 | 2023-09-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-03 | 2023-09-12 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-07-26 | 2023-08-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-07-26 | 2023-08-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-07-26 | 2023-08-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-07-26 | 2023-08-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-26 | 2023-08-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-26 | 2023-08-30 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-07-26 | 2023-08-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-26 | 2023-08-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-07-26 | 2023-08-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-26 | 2023-08-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-26 | 2023-08-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-07-26 | 2023-08-30 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-07-26 | 2023-08-30 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-09-26 | 2022-10-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-16 | 2021-12-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-23 | 2021-09-03 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-07-23 | 2021-09-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-23 | 2021-09-03 | 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 | 2021-07-23 | 2021-09-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-23 | 2021-09-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-07-23 | 2021-09-03 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2021-07-23 | 2021-09-03 | N |
| Post nurse staffing information every day. | Health | 2021-07-23 | 2021-09-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-23 | 2021-09-03 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-07-23 | 2021-09-03 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-07-23 | 2021-09-03 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-07-23 | 2021-09-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-23 | 2021-09-03 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-07-23 | 2021-09-03 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-07-23 | 2021-09-03 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2020-01-28 | 2020-03-10 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2020-01-28 | 2020-03-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-01-28 | 2020-03-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-28 | 2020-03-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-28 | 2020-03-10 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2020-01-28 | 2020-03-10 | N |
| Post nurse staffing information every day. | Health | 2020-01-28 | 2020-03-10 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2020-01-28 | 2020-03-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-28 | 2020-03-10 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2020-01-28 | 2020-03-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-01-28 | 2020-03-10 | 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 | 2020-01-28 | 2020-03-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-28 | 2020-03-10 | 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 | 2020-01-28 | 2020-03-10 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2020-01-28 | 2020-03-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-28 | 2020-03-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-01-28 | 2020-03-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-01-28 | 2020-03-10 | N |
| Establish emergency prep training and testing. | Fire Safety | 2020-01-24 | 2020-02-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-24 | 2020-02-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-01-24 | 2020-02-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-24 | 2020-02-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-24 | 2020-02-23 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2020-01-24 | 2020-02-07 | N |
