A list of the most recent deficiencies for The Hallmark. 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? |
---|---|---|---|---|
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-01 | 2023-12-29 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-01 | 2023-12-22 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-01 | 2023-12-22 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-01 | 2023-12-22 | N |
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-12-01 | 2023-12-22 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-12-01 | 2023-12-20 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-01 | 2023-12-20 | N |
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 | 2023-12-01 | 2023-12-18 | 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 | 2023-12-01 | 2023-12-18 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-01 | 2023-12-18 | N |
Provide properly protected cooking facilities. | Fire Safety | 2023-11-30 | 2023-12-05 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-30 | 2023-12-05 | 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 | 2023-12-01 | 2023-12-04 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-12 | 2022-09-09 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-12 | 2022-09-02 | 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 | 2022-08-12 | 2022-09-02 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-12 | 2022-09-02 | N |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-06-03 | 2021-06-30 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-03 | 2021-06-30 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2021-06-03 | 2021-06-30 | N |
Provide and implement an infection prevention and control program. | Health | 2021-06-03 | 2021-06-30 | N |
Provide properly protected cooking facilities. | Fire Safety | 2021-06-02 | 2021-06-25 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-02 | 2021-06-25 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-02 | 2021-06-25 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-06-03 | 2021-06-23 | N |