A list of the most recent deficiencies for Presbyterian Village, Inc. 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 an approved automatic sprinkler system. | Fire Safety | 2024-02-07 | 2024-03-29 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2024-02-09 | 2024-03-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-09 | 2024-03-22 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-02-09 | 2024-03-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-09 | 2024-03-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-09 | 2024-03-22 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-02-07 | 2024-03-22 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-02-07 | 2024-03-22 | 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 | 2022-11-10 | 2022-12-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-10 | 2022-12-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-10 | 2022-12-09 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2022-11-10 | 2022-12-09 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-11-10 | 2022-12-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-11-11 | 2022-12-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-11 | 2022-12-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-06 | 2021-09-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-08-06 | 2021-09-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-16 | 2021-08-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-16 | 2021-08-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-16 | 2021-08-14 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-07-16 | 2021-08-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-16 | 2021-08-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-13 | 2021-08-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-13 | 2021-08-14 | N |
