Deficiency Records for Childrens Hc Org No Ca -Pediatric Hospital D/p Snf
Updated as of June 01, 2021
This is not the most recent data for Childrens Hc Org No Ca -Pediatric Hospital D/p Snf. For the most recent information, click here.
A list of the most recent deficiencies for Childrens Hc Org No Ca -Pediatric Hospital 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? |
---|---|---|---|---|
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-09-22 | 2020-10-08 | Y |
Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-12-10 | 2019-12-24 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2019-12-10 | 2019-12-24 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-12-10 | 2019-12-24 | N |
Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-12-10 | 2019-12-24 | N |
Provide family notifications of emergency plan. | Fire Safety | 2019-12-10 | 2019-12-24 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-12-10 | 2019-12-24 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-10 | 2019-12-24 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-31 | 2019-11-22 | 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 | 2019-10-31 | 2019-11-22 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-31 | 2019-11-22 | 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 | 2019-10-31 | 2019-11-22 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-31 | 2019-11-22 | N |
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-10-31 | 2019-11-22 | N |
Keep all essential equipment working safely. | Health | 2019-10-31 | 2019-11-22 | N |
Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-05-22 | 2019-06-19 | N |
Establish policies and procedures for sheltering. | Fire Safety | 2019-05-22 | 2019-06-19 | N |
Establish policies and procedures for medical documentation. | Fire Safety | 2019-05-22 | 2019-06-19 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2019-05-22 | 2019-06-19 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-05-22 | 2019-06-19 | N |
Provide emergency officials' contact information. | Fire Safety | 2019-05-22 | 2019-06-19 | N |
Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-05-22 | 2019-06-19 | N |
Provide family notifications of emergency plan. | Fire Safety | 2019-05-22 | 2019-06-19 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-05-22 | 2019-06-19 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-22 | 2019-06-19 | N |
Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-05-22 | 2019-06-19 | N |
Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-05-22 | 2019-06-19 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-22 | 2019-06-19 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-05-22 | 2019-06-19 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-22 | 2019-06-19 | N |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-05-22 | 2019-06-19 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-22 | 2019-06-19 | N |
Provide or obtain dental services for each resident. | Health | 2019-02-27 | 2019-04-10 | N |
Provide and implement an infection prevention and control program. | Health | 2019-02-27 | 2019-04-10 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-03-28 | 2018-04-17 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2018-03-28 | 2018-04-17 | N |
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-03-28 | 2018-04-17 | N |