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Sheridan County Hospital Ltcu

Inspection Results


Nursing Homes Kansas Hoxie Sheridan County Hospital Ltcu

Sheridan County Hospital Ltcu has been cited for a total of 49 deficiencies in our most recent deficiency data, which typically covers 3 health and fire safety surveys.

Tip: Surveys happen throughout the year and you may want to check with the location or here to see if more recent data is available for Sheridan County Hospital Ltcu.

There are 324 nursing homes in Kansas with a total of 10,935 deficiencies resulting in an average of 33.75 deficiencies per nursing home.



The following table describes how deficiencies are scored. An easy way to remember the severity of a deficiency's scope is that the further along in the alphabet (A through L) the scope value is, the more severe the deficiency is.
Additionally, A through F means no actual harm has happened.

Table describing the severity and scope of deficiencies


Deficiency Cited, Scope, and Date of Correction
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.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
05-29-2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category:
Resident Rights Deficiencies
Scope:
E
Corrected:
05-15-2018

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
D
Corrected:
05-15-2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
05-15-2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
05-15-2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category:
Quality of Life and Care Deficiencies
Scope:
E
Corrected:
05-15-2018

Make sure that a working call system is available in each resident's bathroom and bathing area.
Category:
Environmental Deficiencies
Scope:
F
Corrected:
05-15-2018

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
Category:
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Scope:
D
Corrected:
09-16-2016

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
Category:
Resident Rights Deficiencies
Scope:
E
Corrected:
09-16-2016

Review or revise the resident's care plan after any major change in physical or mental health.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
09-16-2016

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
D
Corrected:
09-16-2016

Allow residents the right to participate in the planning or revision of care and treatment.
Category:
Resident Assessment and Care Planning Deficiencies
Scope:
E
Corrected:
09-16-2016

Provide necessary care and services to maintain or improve the highest well being of each resident .
Category:
Quality of Life and Care Deficiencies
Scope:
G
Corrected:
09-16-2016

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
09-16-2016

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Category:
Environmental Deficiencies
Scope:
G
Corrected:
09-16-2016

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
09-16-2016

Provide routine and 24-hour emergency dental care for each resident.
Category:
Quality of Life and Care Deficiencies
Scope:
D
Corrected:
09-16-2016

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
Category:
Pharmacy Service Deficiencies
Scope:
D
Corrected:
09-16-2016

Have a program that investigates, controls and keeps infection from spreading.
Category:
Environmental Deficiencies
Scope:
F
Corrected:
09-16-2016

Establish policies and procedures for sheltering.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
01-03-2019

Conduct testing and exercise requirements.
Category:
Emergency Preparedness Deficiencies
Scope:
C
Corrected:
01-03-2019

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
01-03-2019

Install an approved automatic sprinkler system.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
01-03-2019

Inspect, test, and maintain automatic sprinkler systems.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
01-03-2019

Install corridor and hallway doors that block smoke.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
01-03-2019

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
01-03-2019

Have simulated fire drills held at unexpected times.
Category:
Miscellaneous Deficiencies
Scope:
F
Corrected:
01-03-2019

Have a correctly designed non-healthcare occupancy area in a health care facility.
Category:
Construction Deficiencies
Scope:
F
Corrected:
09-12-2017

Keep aisles, corridors, and exits free of obstruction in case of emergency.
Category:
Egress Deficiencies
Scope:
F
Corrected:
09-12-2017

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Category:
Smoke Deficiencies
Scope:
F
Corrected:
09-12-2017

Have properly installed hallway dispensers for alcohol-based hand rub.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
09-12-2017

Inspect, test, and maintain automatic sprinkler systems.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
09-12-2017

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Category:
Smoke Deficiencies
Scope:
F
Corrected:
09-12-2017

Install corridor and hallway doors that block smoke.
Category:
Smoke Deficiencies
Scope:
E
Corrected:
09-12-2017

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Category:
Smoke Deficiencies
Scope:
D
Corrected:
09-12-2017

Have properly installed electrical wiring and gas equipment.
Category:
Services Deficiencies
Scope:
D
Corrected:
09-12-2017

Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
09-12-2017

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
09-12-2017

Have generator or other power source capable of supplying service within 10 seconds.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
09-12-2017

Ensure proper usage of power strips and extension cords.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
E
Corrected:
09-12-2017

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Category:
Gas, Vacuum, and Electrical Systems Deficiencies
Scope:
F
Corrected:
09-12-2017

Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Category:
Construction Deficiencies
Scope:
D
Corrected:
06-20-2016

Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
Category:
Hazardous Area Deficiencies
Scope:
D
Corrected:
06-20-2016

Record of quarterly fire drills for each shift under varying conditions.
Category:
Emergency Plans and Fire Drills Deficiencies
Scope:
F
Corrected:
06-20-2016

Automatic sprinkler systems that have been maintained in working order.
Category:
Automatic Sprinkler Systems Deficiencies
Scope:
D
Corrected:
06-20-2016

Portable fire extinguishers.
Category:
Automatic Sprinkler Systems Deficiencies
Scope:
D
Corrected:
06-20-2016

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Category:
Services Deficiencies
Scope:
D
Corrected:
06-20-2016

Properly protected cooking facilities.
Category:
Services Deficiencies
Scope:
D
Corrected:
06-20-2016

Properly installed electrical wiring and equipment.
Category:
Electrical Deficiencies
Scope:
D
Corrected:
06-20-2016



Learn more about Sheridan County Hospital Ltcu at the following resources

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Sheridan County Hospital Ltcu


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