Deficiency Records for Northern Lights Hcc
Updated as of July 01, 2023
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? |
---|---|---|---|---|
Conduct testing and exercise requirements. | Fire Safety | 2023-05-09 | 2023-06-19 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-09 | 2023-06-19 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-09 | 2023-06-19 | N |
Have power receptacles that are properly grounded. | Fire Safety | 2023-05-09 | 2023-06-19 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-05-09 | 2023-06-19 | N |
Meet requirements for the use of electrical equipment. | Fire Safety | 2023-05-09 | 2023-06-19 | N |
Assess the resident when there is a significant change in condition | Health | 2023-05-10 | 2023-06-09 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-05-10 | 2023-06-09 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-10 | 2023-06-09 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-05-10 | 2023-06-09 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-10 | 2023-06-09 | N |
Provide and implement an infection prevention and control program. | Health | 2023-05-10 | 2023-06-09 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-05-10 | 2023-06-09 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-10 | 2023-06-09 | Y |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-05 | 2023-03-28 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-04-06 | 2022-05-19 | N |
Keep residents' personal and medical records private and confidential. | Health | 2022-04-06 | 2022-05-19 | 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 | 2022-04-06 | 2022-05-19 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-06 | 2022-05-19 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-04-06 | 2022-05-19 | N |
Provide and implement an infection prevention and control program. | Health | 2022-04-06 | 2022-05-19 | N |
Establish emergency prep training and testing. | Fire Safety | 2022-04-05 | 2022-05-19 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-05 | 2022-05-19 | N |
Have exits that are accessible at all times. | Fire Safety | 2022-04-05 | 2022-05-19 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-05 | 2022-05-19 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-04-05 | 2022-05-19 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-05 | 2022-05-19 | N |
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 |
Meet requirements for sections of health care facilities separated by fire resistive construction. | 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 requirements for the use of electrical equipment. | Fire Safety | 2021-04-06 | 2021-05-31 | 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 |