A list of the most recent deficiencies for Hampshire Memorial Hospital. 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? |
|---|---|---|---|---|
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-06-30 | 2022-08-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-30 | 2022-08-09 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-06-30 | 2022-08-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-06-30 | 2022-08-09 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-06-30 | 2022-08-09 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-06-30 | 2022-08-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-03-12 | 2020-03-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-12 | 2020-03-26 | 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 | 2020-03-12 | 2020-03-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-12 | 2020-03-26 | 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 | 2019-01-31 | 2019-04-11 | 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 | 2019-01-31 | 2019-04-11 | 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 | 2019-01-31 | 2019-04-11 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-01-31 | 2019-04-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-31 | 2019-04-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-01-31 | 2019-04-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-29 | 2019-01-29 | N |
