A list of the most recent deficiencies for Pocahontas Center. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-30 | 2023-10-12 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-08-30 | 2023-10-12 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-30 | 2023-10-12 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-02-21 | 2023-03-28 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-02-21 | 2023-03-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-02-21 | 2023-03-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-21 | 2023-03-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-21 | 2023-03-28 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-02-21 | 2023-03-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-22 | 2023-03-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-22 | 2023-03-17 | 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 | 2023-02-22 | 2023-03-17 | N |
| Post nurse staffing information every day. | Health | 2023-02-22 | 2023-03-17 | 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 | 2023-02-22 | 2023-03-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-22 | 2023-03-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-07 | 2022-09-29 | 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 | 2021-12-01 | 2021-12-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-12-01 | 2021-12-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-01 | 2021-12-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-01 | 2021-12-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-30 | 2021-12-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-17 | 2019-09-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-07-17 | 2019-09-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-17 | 2019-09-06 | 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 | 2019-07-17 | 2019-09-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-17 | 2019-09-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-17 | 2019-09-06 | 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 | 2019-07-17 | 2019-09-06 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-07-17 | 2019-09-06 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-07-17 | 2019-09-06 | 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 | 2019-07-17 | 2019-09-06 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-07-17 | 2019-09-06 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-07-17 | 2019-09-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-17 | 2019-09-06 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-07-17 | 2019-09-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-17 | 2019-09-06 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-07-17 | 2019-09-06 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-07-09 | 2019-08-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-07-09 | 2019-08-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-09 | 2019-08-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-09 | 2019-08-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-09 | 2019-08-20 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-07-09 | 2019-08-20 | N |
