Inspection Reports for E.a. Hawse Healthcare Center

The inspection was conducted as a complaint investigation based on concerns related to vertical openings enclosure and electrical equipment power cords and extension cords.

The facility failed to maintain vertical openings enclosure and electrical equipment power cords and extension cords in accordance with NFPA 101 standards. Open attic access doors and use of extension cords with boxed fans were observed, posing potential risks to residents, staff, and visitors.

The complaint was substantiated. The survey was triggered by a complaint and the findings related to vertical openings enclosure and electrical equipment power cords and extension cords were confirmed during the investigation.

The inspection was conducted as a complaint investigation triggered by concerns related to tags K311 and K920.

The complaint was substantiated with deficiencies cited under tags K311 and K920. The survey included an 80% sample size of residents.

Complaint investigation was substantiated with concerns related to tags K311 and K920.

The document is a plan of correction related to a previous investigation survey concluding on 11/14/2024, accepted in lieu of an onsite revisit.

EA Hawse Healthcare Center is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Nursing Home Licensure Rules. The facility is in substantial compliance with previously cited deficient practices.

The inspection was conducted to review facility documentation and staff interviews to assess compliance with Federal, State, and local Emergency Preparedness requirements.

The facility was found to be in compliance with all applicable Federal, State, and local Emergency Preparedness requirements.

An unannounced annual recertification/licensure/complaint/FRI survey was conducted at E. A. Hawse Healthcare Center from 11/11/24 to 11/14/24 to assess compliance with federal and state regulations.

The facility was found out of substantial compliance with multiple deficiencies including failure to provide complete discharge summaries, update care plans, obtain physician orders for catheter care, maintain dignity with catheter care, ensure timely lab services, honor resident preferences for bathing, maintain safe environment, and complete advance directives documentation.

The inspection was conducted as an annual survey to assess compliance with federal regulations including fire safety, electrical equipment maintenance, and facility policies.

The facility was found deficient in multiple areas including sprinkler system installation, fire drills, electrical equipment testing and maintenance, and fire door inspections. These deficiencies could affect all residents, staff, and visitors. The facility census was 55 at the time of inspection.

This document is a Statement of Deficiencies and Plan of Correction related to regulatory compliance of the E.A. Hawse Healthcare Center.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b)(5)-(10).

An unannounced complaint investigation survey was conducted at E.A. Hawse Healthcare Center from 11/13/23 to 11/14/23.

The facility was in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and/or 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule. Complaint 29530 was unsubstantiated with no related or unrelated deficiencies cited.

Complaint 29530 was unsubstantiated with no related or unrelated deficiencies cited.

An unannounced complaint investigation survey was conducted at E.A. Hawse Healthcare Center from 09/06/23 to 09/07/23.

The facility was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and/or 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule. Complaint #28548 was unsubstantiated with no related or unrelated deficiencies cited.

Complaint #28548 was unsubstantiated with no related or unrelated deficiencies cited.

An unannounced annual recertification, annual relicensure, and complaint investigation survey was conducted at E.A. Hawse Healthcare Center from January 23-25, 2023.

The facility was found deficient in multiple areas including failure to respect resident dignity related to visible names on socks, failure to provide evidence of notice of transfer to the Ombudsman, unsafe environment hazards such as unsecured matches and razor, poor room maintenance, failure to ensure resident privacy during treatment, failure to label food properly, and improper storage and labeling of medications.

Complaint #27743 was unsubstantiated with no related or unrelated deficiencies cited.

The inspection was conducted as an annual recertification and annual relicensure survey for E.A. Hawes Nursing and Rehabilitation Center.

The facility was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and the West Virginia Division of Health Nursing Home Licensure Rule. The review was based on plans of correction and credible evidence accepted in lieu of an onsite revisit.

The inspection was conducted to assess the facility's compliance with the NFPA 101, Life Safety Code, 2012, and applicable Federal, State, and local Emergency Preparedness requirements.

The facility was found to be without waivers and in compliance with the provisions of NFPA 101, Life Safety Code, 2012, and all applicable Federal, State, and local Emergency Preparedness requirements.

A Life Safety Code Comparative Federal Monitoring Survey was conducted by CMS on December 16, 2021, following a West Virginia Department of Health survey on October 20, 2021, to assess compliance with Life Safety Code and Emergency Preparedness requirements.

E.A. Hawse Nursing and Rehabilitation Center was found to be in compliance with Medicare/Medicaid participation requirements related to Life Safety from Fire and Emergency Preparedness at 42 CFR 483.90(a) and 42 CFR 483.73. The facility is a one-story, fully sprinklered building with supervised smoke detection and a tied generator system.

The visit was conducted as an annual recertification survey, with a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

The facility, E.A. Hawes Nursing and Rehabilitation Center, was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia nursing home licensure rules. The facility was in substantial compliance with previously cited deficient practices.

The inspection was conducted based on observation, facility tour, and document review to assess the facility's environment and compliance with emergency preparedness requirements during active COVID-19 county cases.

The facility was found to be providing and maintaining a safe environment for residents. The Facility Emergency Preparedness Plan complied with all Federal and State requirements and was active due to COVID-19 cases.

An unannounced annual recertification, annual relicensure, complaint investigation, and focused infection control survey was conducted at E.A. Hawse Nursing and Rehabilitation Center from October 18-19, 2021.

The facility was found deficient in completing temperature logs for the B hall pantry refrigerator and failed to conduct timely facility-wide COVID-19 testing after a positive case, resulting in potential transmission risk. Additionally, the facility failed to inform residents and their representatives timely about COVID-19 infections as required.

Complaint #25762, #25663, and #25650 were unsubstantiated with no related or unrelated deficiencies cited.

An unannounced focused infection control survey was conducted at E.A. Hawse Healthcare Center from January 4, 2021 to January 11, 2021.

The facility was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and/or 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule.

A COVID-19 Focused Infection Control Survey and Emergency Preparedness Survey was conducted by the state survey agency.

The facility was found in compliance with 42 CFR infection control regulations and CMS and CDC recommended practices to prepare for COVID-19.

The document is a Statement of Deficiencies and Plan of Correction related to a facility survey.

The facility was found in compliance with all applicable Federal, State, and local Emergency Preparedness requirements.

The visit was conducted as an annual recertification and relicensure survey to assess compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules.

The facility was found to be in substantial compliance with the regulatory requirements based on a review of plans of correction and credible evidence accepted in lieu of an onsite revisit. Previously cited deficient practices were corrected.

The inspection was conducted to assess compliance with fire safety codes related to means of egress and electrical equipment testing and maintenance, as well as to evaluate the facility's adherence to resident rights and advance directives requirements.

The facility failed to ensure that fire barriers were constructed and maintained to the appropriate fire resistance rating, and failed to maintain required testing and maintenance documentation for patient-care electrical equipment. No residents were identified as being directly affected, but all residents had the potential to be affected by these deficiencies.

An unannounced annual re-certification and annual re-licensure survey was conducted at E.A. Hawse Nursing and Rehabilitation Center from 02/12/19 through 02/14/19.

The facility was found deficient in ensuring annual evaluation for gradual dose reduction (GDR) of psychotropic medications for residents. Specifically, two residents (#15 and #25) did not have timely pharmacist recommendations or physician evaluations for dose reductions of their psychoactive medications.

An unannounced annual recertification and relicensure survey was conducted at E.A. Hawse Nursing and Rehabilitation Center from January 29, 2018 through January 31, 2018.

The facility was in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule.

The inspection was conducted to review facility documentation, staff interviews, observations, and performance testing to determine compliance with NFPA 101, Life Safety Code, 2012.

The facility was found to be without waivers and in compliance with the provisions of NFPA 101, Life Safety Code, 2012, and all applicable Federal, State, and Local Emergency Preparedness requirements.

A Dementia Focus Survey was conducted by Healthcare Management Solutions, LLC on behalf of the Centers for Medicare & Medicaid Services (CMS) to assess compliance with 42 CFR 483 subpart B.

The facility was found not in substantial compliance with regulations related to care planning for dementia behaviors, documentation of indications for analgesic medication use, and infection control practices during perineal care. Specific deficiencies included failure to include non-pharmacological interventions in care plans for dementia-related behaviors, inadequate documentation of pain symptoms for analgesic administration, and improper infection control technique during incontinent care.

A Dementia Focus Survey was conducted by Healthcare Management Solutions, LLC on behalf of the Centers for Medicare & Medicaid Services (CMS) to assess compliance with 42 CFR 483 subpart B.

The facility was found not in substantial compliance with 42 CFR 483 subpart B during the Dementia Focus Survey conducted from 2/28/17 to 3/2/17.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code standards, specifically regarding fire safety measures including fire-rated construction and fire drill procedures.

The facility failed to maintain the kitchen hazardous storage area with an automatic door closer as required by NFPA 101, and failed to conduct fire drills at varied times as required by NFPA 101 Life Safety Code standards.

The document is a plan of correction related to a previous Quality Indicator and Licensure Survey for E.A. Hawse Nursing and Rehabilitation Center, addressing previously cited deficient practices.

The facility is in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules, with no new deficiencies cited. The plan of correction and credible evidence were accepted in lieu of an onsite revisit.

Unannounced annual Quality Indicator and State Licensure Surveys were conducted at E.A. Hawse Nursing and Rehabilitation Center from September 12, 2016 through September 14, 2016.

The facility failed to assess the use of bed bolsters for one of fourteen resident assessments reviewed (Resident #67). There was no formal assessment or policy to determine if bed bolsters constituted a restraint, and no documentation of such assessment was found.

The inspection was conducted to review facility documentation, staff interviews, observations, and performance testing to determine compliance with NFPA 101, Life Safety Code, 2000.

The facility was found to be without waivers and in compliance with the provisions of NFPA 101, Life Safety Code, 2000.

An unannounced annual Quality Indicator Survey was conducted at E.A. Hawes Nursing and Rehabilitation Center, LLC from August 3, 2015 through August 5, 2015.

The facility was in compliance with 42 CFR Part 483, Requirements for Long Term Care Facilities. The survey sample consisted of 20 Stage 2 residents.

The document is a plan of correction related to a previous Quality Indicator and Licensure Survey concluding on 04/15/14, accepted in lieu of an onsite revisit.

The facility, E. A. Hawes Nursing and Rehabilitation Center, LLC, is in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules, with previously cited deficient practices addressed.

Unannounced annual Quality Indicator and State Licensure Survey conducted at E.A. Hawse Nursing and Rehabilitation Center from April 7, 2014 through April 15, 2014.

The facility failed to guarantee the security of all personal funds deposited with the facility as it did not have a surety bond of sufficient value to cover all resident funds. The surety bond coverage was $19,000, but resident trust account balances exceeded this amount in multiple months.

The inspection was conducted to review facility documentation, staff interviews, observations, and performance testing to determine compliance with NFPA 101, Life Safety Code, 2000.

The facility was found to be without waivers and in compliance with the provisions of NFPA 101, Life Safety Code, 2000.

The visit was a re-visit survey conducted to follow up on previous deficiencies at the facility.

The report includes a statement of deficiencies related to resident rights and notification requirements. The survey was completed without mention of medication error rate and included a sample size of 10 residents.

The inspection was conducted to review facility documentation, staff interviews, observations, and performance testing to determine compliance with NFPA 101, Life Safety Code, 2000.

The facility was found to be without waivers and in compliance with the provisions of NFPA 101, Life Safety Code, 2000.

The inspection was a Quality Indicator and Licensure Survey conducted from 10/16/12 to 10/23/12, including an off-hours survey on 10/16/12 at 6:30 a.m.

The facility was found deficient in multiple areas including failure to revise care plans for residents with declining functional range of motion, failure to implement pain management care plans resulting in actual harm, failure to provide timely therapy services to prevent further decline in range of motion, failure to ensure accurate water temperature monitoring posing burn risks, failure to administer potassium chloride supplements with adequate fluids, and failure to securely store controlled medications.

This document is a Plan of Correction related to deficiencies identified during a prior inspection of the E.A. Hawse Healthcare Center.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b)(5)-(10).

The inspection was conducted as a complaint investigation related to a substantiated complaint regarding failure to notify the resident's legal representative, family member, and physician of a significant deterioration in the health status of a resident.

The facility failed to notify the resident's legal representative, family member, and physician in a timely manner about the resident's deteriorating health condition, resulting in the resident becoming unresponsive and requiring hospitalization. The investigation revealed lack of communication and documentation of attempts to notify the responsible parties during the critical period prior to the resident's emergency transfer to acute care.

Complaint 11288 was substantiated. The facility failed to notify the resident's legal representative, family member, and physician of the resident's deteriorating health status in a timely manner, resulting in delayed hospitalization.

The inspection was conducted in response to complaint reference #11262.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #11262 was investigated and found to be unsubstantiated with no deficiencies cited.

The inspection was conducted as a complaint investigation based on complaint reference #10246.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #10246 was investigated and found to be unsubstantiated with no deficiencies cited.

The inspection was conducted in response to a complaint, referenced as #10182.

The complaint was found to be unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #10182 was investigated and found to be unsubstantiated with no deficiencies cited.

The inspection was conducted to review the facility's compliance with the provisions of NFPA 101, Life Safety Code; 2000 Existing Edition.

Based on review of facility documentation, staff interview, and observations, the facility was determined to be in compliance with the NFPA 101, Life Safety Code; 2000 Existing Edition.

The inspection was conducted to assess compliance with federal regulations regarding resident care, comprehensive care plans, medication administration, and activities of daily living for residents at E.A. Hawse Healthcare Center.

The facility failed to develop appropriate comprehensive care plans with measurable goals for three residents, inconsistently administered 'as needed' medications for one resident, and failed to provide adequate personal care for one resident as evidenced by poor fingernail hygiene.

This document is a Statement of Deficiencies and Plan of Correction related to regulatory compliance of the E.A. Hawse Healthcare Center.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, including Medicaid-related information.

The inspection was conducted as a complaint investigation following substantiated complaints regarding failure to notify legal representatives timely after an accident and failure to properly investigate and report allegations of abuse and neglect.

The facility failed to notify the legal representative timely after a resident's fall with potential for physician intervention and failed to ensure all allegations of abuse, neglect, or mistreatment were immediately reported and thoroughly investigated according to policy and state law for multiple residents.

Complaint reference #9159 was substantiated with deficiencies cited related to failure to notify legal representatives timely after an accident and failure to properly investigate and report abuse allegations.

The inspection was conducted as part of an annual survey to assess compliance with federal regulations regarding resident rights, privacy, employee background checks, and comprehensive care planning.

The facility was found deficient in maintaining resident privacy during a confidential group meeting, failing to complete required criminal background checks and licensing verifications for employees, and not developing comprehensive care plans for multiple residents addressing identified problems such as psychotropic drug use, pressure ulcers, urinary incontinence, and cognitive loss.

The inspection was conducted to review facility documentation, staff interviews, and observations to determine compliance with NFPA 101, Life Safety Code; 2000 Existing Edition.

The facility was found to be in compliance with the provisions of NFPA 101, Life Safety Code; 2000 Existing Edition based on the review.

The inspection was conducted to review the facility's compliance with the provisions of NFPA 101, Life Safety Code; 2000 Existing Edition.

Based on review of facility documentation, staff interview, and observations, the facility was determined to be in compliance with the NFPA 101, Life Safety Code; 2000 Existing Edition.

The inspection was conducted based on complaints regarding resident grievances about wandering residents entering rooms uninvited, concerns about staff screening, accuracy of resident assessments, care plan deficiencies, and narcotic count record accuracy.

The facility failed to resolve resident complaints about wandering residents entering rooms uninvited, did not conduct statewide criminal background checks for some employees, had inaccuracies in resident assessments, failed to develop or revise comprehensive care plans with measurable goals for multiple residents, and failed to maintain accurate narcotic count records on B Hall.

The complaint investigation was triggered by resident grievances about two residents (#18 and #22) wandering uninvited into other residents' rooms, which had been raised multiple times with administration but not resolved.

The inspection was conducted in response to a complaint referenced as #2-7265.

The complaint was found to be unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #2-7265 was unsubstantiated with no deficiencies cited.

The inspection was conducted in response to a complaint referenced as #2-7093.

The complaint was found to be unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference: #2-7093. The complaint was unsubstantiated with no deficiencies cited.

This document is a plan of correction submitted in response to deficiencies identified during a prior survey of the E.A. Hawse Healthcare Center.

The document references a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges in a language they understand, including Medicaid-related information. No additional findings are detailed.

The inspection was conducted as a complaint investigation referenced as #2-7073, which was unsubstantiated with no deficiencies cited. The complaint investigation was conducted concurrently with the facility's annual Medicare/Medicaid certification health inspection and life safety code inspection.

The facility was found deficient in several areas including failure to assess and provide appropriate interventions for urinary incontinence for one resident, failure to provide services to maintain range of motion for another resident, failure to adequately monitor a resident on multiple hypotensive medications, and failure of the governing body to appoint a licensed administrator or qualified person in charge. The complaint itself was unsubstantiated with no deficiencies cited.

Complaint reference #2-7073 was unsubstantiated with no deficiencies cited. The complaint investigation was conducted concurrently with the annual certification and life safety inspections.

The inspection was conducted to review facility documentation, staff interviews, and observations to determine compliance with NFPA 101, Life Safety Code; 2000 Existing Edition.

The facility was found to be in compliance with the provisions of NFPA 101, Life Safety Code; 2000 Existing Edition based on the review.

Paper revisit to review previously identified deficiencies and the provider's plan of correction.

The document contains a statement of deficiencies related to resident rights and notification requirements, with a focus on informing residents of their rights, services, and charges. No new on-site findings are reported.

The inspection was conducted to review facility documentation, staff interviews, and observations to determine compliance with NFPA 101, Life Safety Code; 2000 Existing Edition.

The facility was found to be in compliance with the provisions of NFPA 101, Life Safety Code; 2000 Existing Edition based on the review.

The inspection was conducted to assess compliance with federal regulations regarding resident rights, conveyance of personal funds upon death, accommodation of resident needs, medication administration, food preparation and sanitation, and advance directives policies.

The facility was found deficient in multiple areas including failure to convey resident funds within 30 days of death, inadequate accommodation of resident needs related to call light accessibility and positioning during meals, medication errors exceeding 5%, poor food preparation affecting palatability, and unsanitary conditions in food preparation and service areas.

The inspection was conducted in response to substantiated complaints #2-5321 and #2-5322 regarding resident care and notification issues.

The facility failed to fully inform a resident's legal representative about the circumstances of the resident's death, did not continually assess a resident on Coumadin for bruising after multiple injuries, and failed to properly apply Tabs mobility alarm systems for three residents, compromising resident safety.

Complaint references #2-5321 and #2-5322 were substantiated with deficiencies cited related to notification of changes, quality of care, and accident prevention.

The inspection was conducted as a complaint investigation referenced as #2-5232.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #2-5232 was unsubstantiated with no deficiencies cited.

The inspection was conducted to assess the facility's compliance with the provisions of NFPA 101, Life Safety Code; 2000 Existing Edition.

Based on review of facility documentation, staff interview, and observations, the facility was determined to be in compliance with the NFPA 101, Life Safety Code; 2000 Existing Edition.

Annual survey conducted to assess compliance with federal regulations related to resident rights, environment, quality of care, pharmacy services, infection control, dietary services, and physical environment.

The facility was found deficient in multiple areas including failure to inform a resident of her rights regarding bathing preferences, unsanitary conditions in resident rooms and dietary areas, inadequate toenail care for residents, unnecessary medication use, ineffective pest control, improper garbage disposal, and infection control lapses related to gastrostomy tube care.

The inspection was conducted to assess the facility's compliance with the provisions of NFPA 101, Life Safety Code; 1981 New Edition.

Based on review of facility documentation, staff interview, observations, and performance testing, the facility was determined to be in compliance with the Life Safety Code standards.

The inspection was conducted due to a complaint investigation regarding the facility's failure to report an allegation of misappropriation of a resident's funds.

The facility failed to report to the State Survey Agency an incident where a resident's credit card was used by someone else to purchase $700 worth of merchandise. The incident was reported to the facility by the resident's family on 7/21/03, but no report was made to the appropriate state agencies as required.

The complaint involved an allegation that a resident's credit card was used without authorization to purchase $700 worth of merchandise. The facility did not report this incident to the State Survey Agency despite being informed by the resident's family on 7/21/03.

The document is a plan of correction responding to deficiencies identified during a prior inspection related to nursing services and resident rights notification.

The facility failed to have a registered nurse on duty for eight hours a day, seven days a week for one of twelve weekends reviewed, specifically the weekend of August 17-18, 2002. Additionally, the facility did not fully comply with requirements to inform residents of their rights and services.

The inspection was conducted to assess the facility's compliance with the provisions of NFPA 101, Life Safety Code; 1981 New Edition.

Based on review of facility documentation, staff interview, observations, and performance testing, the facility was determined to be in compliance with the Life Safety Code requirements.

The inspection was conducted as an annual survey to assess compliance with regulatory requirements, including review of residents' rights and quality of care related to medication use.

The facility was found deficient in informing residents of their rights and services as required, and failed to ensure that residents receiving hypnotic medications for excessive dose and duration were provided an attempted dose reduction. Specifically, two residents (#13 and #52) were receiving hypnotics without dose reduction attempts despite concerns about medication appropriateness.

The inspection was conducted in response to complaint number 2-1119 regarding the facility's compliance with transfer and discharge notification requirements.

The facility failed to provide advanced written notification of transfer to one of seven discharged residents and the family member thirty days prior to discharge, specifically for Resident #56.

Complaint #2-1119 involved failure to provide timely written notification of transfer or discharge to a resident and family member as required by regulation. The resident had received the notification, but the family member had not been notified in writing.

The inspection was conducted to assess the facility's compliance with the provisions of NFPA 101:12; Life Safety Code, 1981 New Edition.

Based on review of facility documentation, staff interview, observations, and performance testing, the facility was determined to be in compliance with the Life Safety Code.

The inspection was conducted as a routine survey to assess compliance with federal regulations regarding resident rights, quality of care, medication management, and facility policies.

The facility was found deficient in multiple areas including improper exercise of resident rights regarding DNR orders without legal authority, failure to notify legal representatives of significant changes, unsafe self-administration of drugs, failure to provide proper transfer/discharge notices, delayed criminal background checks for staff, failure to follow physician orders for care, inadequate wound care, and failure of the pharmacist to report drug irregularities.

Complaint #2-0166 triggered the inspection, focusing on deficiencies related to resident care and facility compliance.

The facility failed to maintain residents' dignity and respect in grooming and personal care, ensure cold water availability, develop comprehensive care plans for certain residents, provide necessary care to maintain physical well-being, ensure residents received baths or showers twice weekly, and maintain complete clinical records for pacemaker checks.

Complaint #2-0166 included deficiencies; Complaint #2-1012 had no deficiencies.

The document is a Statement of Deficiencies and Plan of Correction for E.A. Hawse Healthcare Center, addressing regulatory compliance issues identified during a survey completed on June 15, 2000.

The facility was found to have deficiencies related to physical environment safety and sanitation, including compromised pressure relief valve discharge tubing on an electric water heater and damage to the kitchen walk-in refrigeration/freezer unit exposing insulation and creating a surface that cannot be easily cleaned.

The document is a statement of deficiencies and plan of correction related to a facility inspection focusing on compliance with life safety code standards.

The inspection found that not all facility exits were readily accessible due to a magnetic locking device that failed to release properly, and that a recently constructed smoking hut was not covered by the sprinkler system.

The inspection was conducted to review compliance with construction plan submission requirements and to identify deficiencies related to facility alterations and safety.

The facility failed to submit detailed plans for a recently constructed alteration, specifically a 'Smoking Hut' attached to the building without approved plans. Additionally, safety concerns were noted regarding inadequate supervision and unsecured doors in the adolescent residence.

The inspection was conducted to assess compliance with resident rights and quality of life standards, specifically regarding reasonable accommodations of individual needs for residents.

The facility failed to assist one resident (Resident #32) with reasonable accommodations for her individual needs. The resident's crocheting materials were stored in an inaccessible location in the activity room, obstructed by furniture and other residents in wheelchairs, limiting her access without disrupting others.