Deficiency Records for Plymouth Health Services
Updated as of July 01, 2020
This is not the most recent data for Plymouth Health Services. For the most recent information, click here.
A list of the most recent deficiencies for Plymouth Health Services. 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 residents are fully informed and understand their health status, care and treatments. | Health | 2019-07-31 | 2019-09-04 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-07-31 | 2019-09-04 | N |
Keep residents' personal and medical records private and confidential. | Health | 2019-07-31 | 2019-09-04 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-31 | 2019-09-04 | N |
Respond appropriately to all alleged violations. | Health | 2019-07-31 | 2019-09-04 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-31 | 2019-09-04 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-07-31 | 2019-09-04 | N |
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-07-31 | 2019-09-04 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-31 | 2019-09-04 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-31 | 2019-09-04 | N |
Provide and implement an infection prevention and control program. | Health | 2019-07-31 | 2019-09-04 | N |
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 | 2019-07-19 | 2019-08-27 | 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 | 2019-07-19 | 2019-08-27 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-19 | 2019-08-27 | Y |
Respond appropriately to all alleged violations. | Health | 2019-04-24 | 2019-05-17 | Y |
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2018-08-20 | 2018-09-07 | Y |
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2018-07-25 | 2018-08-24 | 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 | 2018-07-25 | 2018-08-24 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-25 | 2018-08-24 | 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 | 2018-07-25 | 2018-08-24 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2018-07-25 | 2018-08-24 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-07-25 | 2018-08-24 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-07-25 | 2018-08-24 | Y |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-07-25 | 2018-08-24 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-25 | 2018-08-24 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2017-12-11 | 2017-12-22 | Y |
Respond appropriately to all alleged violations. | Health | 2017-12-11 | 2017-12-22 | Y |
Install an approved automatic sprinkler system. | Fire Safety | 2017-05-10 | 2017-06-10 | 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 | 2017-05-10 | 2017-06-09 | 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 | 2017-05-10 | 2017-06-09 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-05-10 | 2017-06-09 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2017-05-10 | 2017-06-09 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-05-10 | 2017-06-09 | N |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-05-10 | 2017-06-09 | N |
Give residents a notice of rights, rules, services and charges. | Health | 2017-05-10 | 2017-06-09 | N |
Keep residents' personal and medical records private and confidential. | Health | 2017-05-10 | 2017-06-09 | N |
Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-05-10 | 2017-06-09 | N |
Allow residents to self-administer drugs if determined safe. | Health | 2017-05-10 | 2017-06-09 | N |
Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-05-10 | 2017-06-09 | N |
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-05-10 | 2017-06-09 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-10 | 2017-06-09 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-05-10 | 2017-06-09 | N |
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-05-10 | 2017-06-09 | Y |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-05-10 | 2017-05-16 | N |