A list of the most recent deficiencies for Utuqqanaat Inaat. 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? |
|---|---|---|---|---|
| Install proper backup exit lighting. | Fire Safety | 2023-02-01 | 2023-03-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-02-01 | 2023-03-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-01 | 2023-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-01 | 2023-03-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-01 | 2023-03-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-02-01 | 2023-03-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-01 | 2023-03-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-01 | 2023-03-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-02 | 2023-03-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-02 | 2023-03-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-02 | 2023-03-02 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2021-10-08 | 2021-11-05 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-10-08 | 2021-11-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-08 | 2021-11-05 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-10-08 | 2021-11-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-10-08 | 2021-11-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-08 | 2021-11-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-08 | 2021-11-05 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-10-25 | 2021-11-05 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-10-25 | 2021-11-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-25 | 2021-11-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-10-25 | 2021-11-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-25 | 2021-11-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-25 | 2021-11-05 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-03-18 | 2021-05-06 | Y |
| Provide activities to meet all resident's needs. | Health | 2019-02-15 | 2019-04-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-02-15 | 2019-04-01 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-02-15 | 2019-03-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-15 | 2019-03-29 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-02-15 | 2019-03-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-15 | 2019-03-11 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-02-15 | 2019-03-07 | N |
