Deficiency Records for Northern Lights Hcc
Updated as of January 01, 2022
This is not the most recent data for Northern Lights Hcc. For the most recent information, click here.
A list of the most recent deficiencies for Northern Lights Hcc. 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? |
---|---|---|---|---|
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-04-07 | 2021-06-07 | N |
Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-04-06 | 2021-05-31 | N |
Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2021-04-06 | 2021-05-31 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-04-06 | 2021-05-31 | N |
Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-04-06 | 2021-05-31 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-04-06 | 2021-05-31 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-04-06 | 2021-05-31 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-06 | 2021-05-31 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-06 | 2021-05-31 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-06 | 2021-05-31 | N |
Meet other general requirements that are deficient. | Fire Safety | 2021-04-06 | 2021-05-31 | N |
Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2021-04-07 | 2021-05-05 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-07 | 2021-05-05 | N |
Respond appropriately to all alleged violations. | Health | 2021-04-07 | 2021-05-05 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-07 | 2021-05-05 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-07 | 2021-05-05 | 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 | 2021-04-07 | 2021-05-05 | N |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2021-04-07 | 2021-05-05 | N |
Provide and implement an infection prevention and control program. | Health | 2021-04-07 | 2021-05-05 | N |
Honor the resident's right to choose his or her attending physician. | Health | 2021-01-07 | 2021-02-07 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-10-28 | 2020-11-23 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-10-28 | 2020-11-23 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-02-18 | 2020-03-16 | Y |
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 | 2020-02-18 | 2020-03-16 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-02-18 | 2020-03-16 | Y |
Assess the resident when there is a significant change in condition | Health | 2019-08-07 | 2019-09-07 | N |
Ensure that residents are free from significant medication errors. | Health | 2019-08-07 | 2019-09-07 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-07 | 2019-09-07 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-08-07 | 2019-09-07 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-08-07 | 2019-09-07 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-08-07 | 2019-09-07 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-07 | 2019-09-07 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-08-07 | 2019-09-07 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-07 | 2019-09-07 | N |
Provide properly protected cooking facilities. | Fire Safety | 2018-07-19 | 2018-08-19 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-19 | 2018-08-19 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-19 | 2018-08-19 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-07-19 | 2018-08-19 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-07-19 | 2018-08-19 | 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 | 2018-07-11 | 2018-07-11 | 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 | 2018-07-11 | 2018-07-11 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-07-11 | 2018-07-11 | N |