Deficiency Records for Queen Anne Healthcare
Updated as of March 01, 2019
This is not the most recent data for Queen Anne Healthcare. For the most recent information, click here.
A list of the most recent deficiencies for Queen Anne Healthcare. 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-10-09 | 2018-10-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-09 | 2018-10-24 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-10-09 | 2018-10-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-20 | 2018-05-29 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2018-03-20 | 2018-04-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-03-20 | 2018-04-17 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-03-20 | 2018-04-17 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-03-20 | 2018-04-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-03-20 | 2018-04-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-20 | 2018-04-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-03-20 | 2018-04-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-20 | 2018-04-17 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-03-20 | 2018-04-17 | 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 ne | Health | 2018-03-20 | 2018-04-17 | 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 | 2018-03-20 | 2018-04-17 | N |
| Provide or obtain dental services for each resident. | Health | 2018-03-20 | 2018-04-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-03-20 | 2018-04-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-20 | 2018-04-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-20 | 2018-04-17 | 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 | 2018-03-20 | 2018-04-17 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-12 | 2018-03-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-03-12 | 2018-03-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-03-12 | 2018-03-12 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-18 | 2017-11-03 | Y |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-01-11 | 2017-02-24 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-01-11 | 2017-02-24 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-01-11 | 2017-02-24 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-01-11 | 2017-02-24 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-01-11 | 2017-02-24 | 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 | 2017-01-04 | 2017-02-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-01-04 | 2017-02-09 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-01-04 | 2017-02-09 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2015-10-19 | 2015-11-30 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2015-10-19 | 2015-11-30 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2015-10-19 | 2015-11-30 | N |
| Provide housekeeping and maintenance services. | Health | 2015-10-19 | 2015-11-30 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-10-19 | 2015-11-30 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-10-19 | 2015-11-30 | 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 | 2015-10-19 | 2015-11-30 | 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 | 2015-10-19 | 2015-11-30 | 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 | 2015-10-19 | 2015-11-30 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-10-19 | 2015-11-30 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-10-19 | 2015-11-30 | N |
