Deficiency Records for Hallettsville Nursing and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Hallettsville Nursing and Rehabilitation. 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? |
---|---|---|---|---|
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-08-24 | 2023-09-19 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-25 | 2023-08-28 | Y |
Ensure each resident receives an accurate assessment. | Health | 2023-08-25 | 2023-08-28 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-25 | 2023-08-28 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-08-25 | 2023-08-28 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-25 | 2023-08-28 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-08-25 | 2023-08-28 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-07-08 | 2022-07-18 | Y |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-07 | 2022-07-18 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-23 | 2022-06-06 | Y |
Keep residents' personal and medical records private and confidential. | Health | 2021-03-19 | 2021-04-12 | Y |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-03-19 | 2021-04-12 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-03-19 | 2021-04-12 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-19 | 2021-04-12 | Y |
Provide or obtain dental services for each resident. | Health | 2021-03-19 | 2021-04-12 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-19 | 2021-04-12 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-03-19 | 2021-04-12 | Y |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-03-18 | 2021-04-12 | N |