Deficiency Records for Touchmark On South Hill Nursing
Updated as of February 01, 2021
This is not the most recent data for Touchmark On South Hill Nursing. For the most recent information, click here.
A list of the most recent deficiencies for Touchmark On South Hill Nursing. 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 services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-20 | 2020-04-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-20 | 2020-04-01 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-12-12 | 2020-01-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-12 | 2020-01-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-12 | 2020-01-24 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-12-12 | 2020-01-24 | Y |
| 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 | 2019-12-12 | 2020-01-24 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-11 | 2020-01-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-11 | 2020-01-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-11 | 2020-01-10 | N |
| Have a properly installed medical gas master alarm panel. | Fire Safety | 2019-12-11 | 2020-01-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-11 | 2020-01-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-06 | 2019-09-13 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-06-11 | 2019-07-25 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-12-27 | 2019-01-22 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-10-25 | 2018-12-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-25 | 2018-12-07 | 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 | 2018-10-25 | 2018-12-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-25 | 2018-12-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-10-25 | 2018-12-07 | 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 | 2018-10-25 | 2018-12-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-25 | 2018-12-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-11-01 | 2018-11-30 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-11-01 | 2018-11-30 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-11-01 | 2018-11-30 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-11-01 | 2018-11-30 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-11-01 | 2018-11-30 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2018-11-01 | 2018-11-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-02-09 | 2018-02-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-02-09 | 2018-02-21 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2017-12-07 | 2018-01-20 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2017-12-07 | 2018-01-20 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2017-12-07 | 2018-01-20 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2017-12-07 | 2018-01-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2017-12-07 | 2018-01-20 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2017-12-07 | 2018-01-20 | N |
| Assess the resident when there is a significant change in condition | Health | 2017-12-07 | 2018-01-20 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2017-12-07 | 2018-01-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2017-12-07 | 2018-01-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-07 | 2018-01-20 | 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 | 2017-12-07 | 2018-01-20 | 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 | 2017-12-07 | 2018-01-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-12-01 | 2017-12-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-12-01 | 2017-12-21 | N |
