Deficiency Records for Plymouth Health Services
Updated as of October 01, 2021
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? |
|---|---|---|---|---|
| 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 | 2021-05-05 | 2021-06-02 | 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 | 2021-05-05 | 2021-06-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-05-05 | 2021-06-02 | 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 | 2021-05-05 | 2021-06-02 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-05-05 | 2021-06-02 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-05-05 | 2021-06-02 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-05-05 | 2021-06-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-05 | 2021-06-02 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-05-05 | 2021-06-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-05 | 2021-06-02 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-05-05 | 2021-06-02 | N |
| Keep all essential equipment working safely. | Health | 2021-05-05 | 2021-06-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-05-04 | 2021-06-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-04 | 2021-05-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-04 | 2021-05-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-05-04 | 2021-05-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-05-04 | 2021-05-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-04 | 2021-05-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-05-04 | 2021-05-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-05-04 | 2021-05-06 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-02-24 | 2021-03-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-12-15 | 2021-01-12 | 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 | 2020-12-15 | 2021-01-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-10-06 | 2020-11-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-09-02 | 2020-10-02 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-07-31 | 2019-09-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-31 | 2019-09-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-31 | 2019-09-17 | N |
| 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 |
| 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 | N |
| 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 | 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 | 2018-07-25 | 2018-08-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-25 | 2018-08-24 | N |
| 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 |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-07-17 | 2018-08-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-17 | 2018-08-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-07-17 | 2018-08-20 | N |
