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Deficiency Records for Hollymead
View the most recent health deficiencies and inspection results for Hollymead. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Hollymead. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2025-04-24 | 2025-05-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-24 | 2025-05-19 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-04-24 | 2025-05-18 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-04-24 | 2025-05-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-24 | 2025-05-02 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2025-04-24 | 2025-05-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-04-24 | 2025-04-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-24 | 2025-04-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-04-24 | 2025-04-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-04-24 | 2025-04-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-02-20 | 2025-03-21 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-02-20 | 2025-03-21 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-01-02 | 2025-01-27 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-01-02 | 2025-01-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-07 | 2024-09-06 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-07 | 2024-09-06 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2024-08-07 | 2024-09-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-07 | 2024-09-06 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-21 | 2024-05-02 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-03-21 | 2024-05-02 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-03-21 | 2024-05-02 | N |
| Have properly spaced exits within rooms. | Fire Safety | 2024-03-21 | 2024-05-02 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2024-03-21 | 2024-05-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-30 | 2024-05-01 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-03-21 | 2024-04-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-21 | 2024-03-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-21 | 2024-03-22 | Y |
| 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 | 2024-03-21 | 2024-03-22 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-03-21 | 2024-03-22 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-03-21 | 2024-03-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-21 | 2024-03-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-27 | 2024-02-28 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2023-02-09 | 2023-03-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-09 | 2023-02-10 | 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 | 2023-02-09 | 2023-02-10 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-02-09 | 2023-02-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-09 | 2023-02-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-09 | 2023-02-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-09 | 2023-02-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-09 | 2023-02-09 | N |