A list of the most recent deficiencies for Presbyterian Intercomm Hosp Dp/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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-09 | 2023-07-26 | 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 | 2023-07-09 | 2023-07-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-09 | 2023-07-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-09 | 2023-07-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-09 | 2023-07-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-07-09 | 2023-07-26 | 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 | 2023-07-09 | 2023-07-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-09 | 2023-07-26 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-07-09 | 2023-07-26 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-07-09 | 2023-07-26 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-07-09 | 2023-07-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-09 | 2023-07-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-09 | 2023-07-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-09 | 2023-07-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-07-09 | 2023-07-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-09 | 2023-07-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-12 | 2020-03-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-12 | 2020-03-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-12 | 2020-03-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-12 | 2020-03-06 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2020-02-12 | 2020-03-06 | 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 | 2020-02-13 | 2020-03-05 | N |
| Construct fire resistant interior walls. | Fire Safety | 2020-02-13 | 2020-03-05 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2020-02-13 | 2020-03-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-19 | 2019-03-21 | 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 | 2019-02-19 | 2019-03-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-02-19 | 2019-03-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-19 | 2019-03-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-02-19 | 2019-03-21 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-02-19 | 2019-03-21 | 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 | 2019-02-19 | 2019-03-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-02-19 | 2019-03-21 | 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 | 2019-02-22 | 2019-03-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-22 | 2019-03-18 | N |
