Deficiency Records for Modoc Medical Center D/p Snf

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Updated as of March 01, 2024

A list of the most recent deficiencies for Modoc Medical Center D/p Snf. 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 2023-12-05 2023-12-15 Y
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Health 2023-11-06 2023-11-30 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 2023-10-05 2023-11-01 N
Provide and implement an infection prevention and control program. Health 2023-10-05 2023-10-26 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-10-10 2023-10-26 N
Use approved construction type or materials. Fire Safety 2023-10-10 2023-10-26 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-10-10 2023-10-26 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-10-10 2023-10-26 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-10-10 2023-10-26 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-10-10 2023-10-26 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2023-05-30 2023-06-20 Y
Respond appropriately to all alleged violations. Health 2023-05-30 2023-06-20 Y
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2022-06-16 2022-07-15 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 2022-06-16 2022-07-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-06-16 2022-07-15 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-06-16 2022-07-15 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2022-06-16 2022-07-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-06-16 2022-07-15 Y
Conduct risk assessment and an All-Hazards approach. Fire Safety 2022-06-20 2022-06-30 N
Provide properly protected cooking facilities. Fire Safety 2022-06-20 2022-06-30 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-06-20 2022-06-30 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-06-03 2022-06-28 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-04-05 2022-05-03 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-07-14 2021-08-13 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-06-10 2021-07-20 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-04-21 2021-05-21 Y
Keep residents' personal and medical records private and confidential. Health 2019-12-19 2020-01-28 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2019-12-19 2020-01-28 N
Provide properly protected cooking facilities. Fire Safety 2020-01-06 2020-01-21 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2020-01-06 2020-01-21 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2020-01-06 2020-01-21 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2020-01-06 2020-01-21 N