A list of the most recent deficiencies for Hopemont 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2022-08-24 | 2022-10-19 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2022-08-24 | 2022-10-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-24 | 2022-10-19 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-08-24 | 2022-10-19 | 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 | 2022-08-24 | 2022-10-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-24 | 2022-10-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-08 | 2021-06-16 | 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 | 2021-04-30 | 2021-06-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-04-30 | 2021-06-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-30 | 2021-06-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-30 | 2021-06-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-30 | 2021-06-03 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-04-30 | 2021-06-03 | Y |
| 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 | 2021-04-30 | 2021-06-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-30 | 2021-06-03 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-04-30 | 2021-06-03 | Y |
| 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 | 2019-02-08 | 2019-03-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-02-08 | 2019-03-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-02-08 | 2019-03-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-08 | 2019-03-29 | 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 | 2019-02-08 | 2019-03-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-08 | 2019-03-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-08 | 2019-03-29 | 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 | 2019-02-08 | 2019-03-29 | 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 | 2019-02-08 | 2019-03-29 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-02-08 | 2019-03-29 | 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 | 2019-02-08 | 2019-03-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-02-08 | 2019-03-29 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-02-08 | 2019-03-29 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2019-02-08 | 2019-03-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-08 | 2019-03-29 | 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 | 2019-02-08 | 2019-03-29 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-02-08 | 2019-03-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-08 | 2019-03-29 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-02-08 | 2019-03-29 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-02-05 | 2019-03-29 | N |
