Federal Nursing-Home Survey Record
NASSAWADOX REHABILITATION AND NURSING
Does NASSAWADOX REHABILITATION AND NURSING have a federal violation or abuse history?
According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), NASSAWADOX REHABILITATION AND NURSING (CCN 495277), in NASSAWADOX, VA, has federal inspection findings on its record. CMS currently displays its federal abuse icon for this facility — a flag CMS assigns under its own published methodology for abuse-related citations (deficiency tag F600 and related).
In its current inspection cycle, CMS cited the facility for 29 deficiencies; the most serious carries scope/severity H on CMS's A–L scale, a level CMS classifies as actual harm. The most recent federal survey on file is dated 2022-05-20. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. This page restates the federal record as published by CMS and draws no conclusion of its own.
The Federal Record
CMS has flagged this facility with its federal abuse icon.
Below is this facility's federal survey record as on file with CMS.
Federal abuse icon on file
CMS displays its abuse icon for facilities it has cited for resident abuse under its own published methodology (deficiency tag F600 and related). This is the government's own flag, restated here.
Scope & Severity — current cycle
Overall CMS star rating: this facility vs the CMS-published state average
This facility: 1 · CMS state average: 3.0
Deficiency timeline — full federal history
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Provide or obtain dental services for each resident.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Ensure each resident receives an accurate assessment.
Reasonably accommodate the needs and preferences of each resident.
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Assure the security of all personal funds of residents deposited with the facility.
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide appropriate foot care.
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.
Provide enough food/fluids to maintain a resident's health.
Provide safe and appropriate respiratory care for a resident when needed.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Ensure medication error rates are not 5 percent or greater.
Ensure that residents are free from significant medication errors.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
27 citations from earlier inspection cycles — historical, not current (expand)
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Honor the resident's right to manage his or her financial affairs.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Dispose of garbage and refuse properly.
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
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.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Assure that each resident’s assessment is updated at least once every 3 months.
Ensure that residents are free from significant medication errors.
Provide and implement an infection prevention and control program.
Ensure each resident receives an accurate assessment.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Allow residents the right to participate in the planning or revision of care and treatment.
Provide necessary care and services to maintain or improve the highest well being of each resident .
Have a program that investigates, controls and keeps infection from spreading.
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Document what happened
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