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 |