Deficiency Records for Queen Anne Healthcare
Updated as of September 01, 2021
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? |
---|---|---|---|---|
Provide and implement an infection prevention and control program. | Health | 2020-04-15 | 2020-04-20 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-28 | 2020-02-13 | Y |
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 | 2019-05-17 | 2019-06-25 | N |
Assess the resident when there is a significant change in condition | Health | 2019-05-17 | 2019-06-25 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-05-17 | 2019-06-25 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-05-17 | 2019-06-25 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-17 | 2019-06-25 | 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 | 2019-05-17 | 2019-06-25 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-17 | 2019-06-25 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-17 | 2019-06-25 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-05-17 | 2019-06-25 | 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 | 2019-05-17 | 2019-06-25 | 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 | 2019-05-17 | 2019-06-25 | 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 | 2019-05-17 | 2019-06-25 | N |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-05-17 | 2019-06-25 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-05-09 | 2019-06-07 | N |
Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-05-09 | 2019-06-07 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2019-05-09 | 2019-06-07 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-09 | 2019-06-07 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-09 | 2019-06-07 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-05-09 | 2019-06-07 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-09 | 2019-06-07 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-05-09 | 2019-06-07 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-09 | 2019-06-07 | N |
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 | N |
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 |
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 | 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 necessary and PRN use is limited. | 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 |
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 |
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 |