Deficiency Records for Presbyterian Intercomm Hosp Dp/snf

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

Deficiency Records for Presbyterian Intercomm Hosp Dp/snf

Updated as of May 01, 2024

Deficiency Records for Presbyterian Intercomm Hosp Dp/snf

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