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Deficiency Records for Queen Anne Healthcare
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.
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? |
---|---|---|---|---|
Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-05-16 | 2024-06-14 | Y |
Ensure that residents are free from significant medication errors. | Health | 2024-03-01 | 2024-03-21 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-09 | 2024-03-05 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-09 | 2024-03-05 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-24 | 2023-11-27 | N |
Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-10-24 | 2023-11-20 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-24 | 2023-11-20 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-20 | 2023-11-17 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-10-20 | 2023-11-17 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-20 | 2023-11-17 | 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 | 2023-10-20 | 2023-11-17 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-20 | 2023-11-17 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-20 | 2023-11-17 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-20 | 2023-11-17 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-20 | 2023-11-17 | N |
Provide and implement an infection prevention and control program. | Health | 2023-10-20 | 2023-11-17 | N |
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 | 2023-10-20 | 2023-11-17 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-19 | 2023-11-14 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-29 | 2022-09-14 | 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 |
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