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Deficiency Records for Hawthorne Healthcare and Wellness Centre, LP
View the most recent health deficiencies and inspection results for Hawthorne Healthcare and Wellness Centre, LP. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Hawthorne Healthcare and Wellness Centre, LP. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2026-03-27 | 2026-04-17 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2026-03-27 | 2026-04-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-03-27 | 2026-04-17 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2026-03-27 | 2026-04-17 | 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 (including nights and weekends) and emergencies. | Health | 2026-03-27 | 2026-04-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-03-27 | 2026-04-17 | N |
| Provide or obtain dental services for each resident. | Health | 2026-03-27 | 2026-04-17 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2026-03-27 | 2026-04-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2026-03-27 | 2026-04-17 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2026-03-27 | 2026-04-17 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2026-03-27 | 2026-04-17 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2026-03-27 | 2026-04-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-03-27 | 2026-04-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2026-03-27 | 2026-04-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-03-27 | 2026-04-17 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2026-03-27 | 2026-04-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2026-03-27 | 2026-04-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-06-04 | 2025-06-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-24 | 2025-02-14 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-01-24 | 2025-02-14 | 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 | 2025-01-24 | 2025-02-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-24 | 2025-02-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-01-24 | 2025-02-14 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-01-24 | 2025-02-14 | 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 | 2025-01-24 | 2025-02-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-01-24 | 2025-02-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-01-24 | 2025-02-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-01-24 | 2025-02-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-01-24 | 2025-02-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-01-24 | 2025-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-26 | 2024-02-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-26 | 2024-02-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-26 | 2024-02-16 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-01-26 | 2024-02-16 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-01-26 | 2024-02-16 | 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 | 2024-01-26 | 2024-02-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-26 | 2024-02-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-26 | 2024-02-16 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-01-26 | 2024-02-16 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-01-26 | 2024-02-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-26 | 2024-02-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-26 | 2024-02-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-10 | 2023-11-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-10 | 2023-11-02 | Y |