A list of the most recent deficiencies for Extendicare Health Center. 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? |
|---|---|---|---|---|
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-23 | 2022-08-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-23 | 2022-07-28 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-06-18 | 2022-07-25 | N |
| 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. | Health | 2022-06-18 | 2022-07-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-18 | 2022-07-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-18 | 2022-07-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-06-23 | 2022-07-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-23 | 2022-06-29 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-06-23 | 2022-06-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-25 | 2019-08-29 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-07-25 | 2019-08-16 | 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 | 2019-07-18 | 2019-08-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-18 | 2019-08-09 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-07-25 | 2019-08-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-07-25 | 2019-08-08 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-07-18 | 2019-08-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-25 | 2019-08-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-07-18 | 2019-08-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-25 | 2019-07-31 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-07-25 | 2019-07-26 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-07-25 | 2019-07-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-02 | 2018-09-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-08-02 | 2018-09-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-08-02 | 2018-08-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-02 | 2018-08-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-08-06 | 2018-08-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-08-06 | 2018-08-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-08-06 | 2018-08-06 | N |
