A list of the most recent deficiencies for Angels Nursing 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? |
|---|---|---|---|---|
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-07-06 | 2022-07-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-24 | 2022-06-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-22 | 2022-05-12 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-04-22 | 2022-05-12 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-01-13 | 2022-02-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-13 | 2022-02-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-13 | 2022-02-22 | N |
| Post nurse staffing information every day. | Health | 2022-01-13 | 2022-02-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-13 | 2022-02-22 | 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 | 2022-01-13 | 2022-02-22 | 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 | 2022-01-13 | 2022-02-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-13 | 2022-02-22 | N |
| Dispose of garbage and refuse properly. | Health | 2022-01-13 | 2022-02-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-01-13 | 2022-02-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-13 | 2022-02-22 | N |
| Keep all essential equipment working safely. | Health | 2022-01-13 | 2022-02-22 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-01-17 | 2022-02-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-01-17 | 2022-02-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-01-17 | 2022-02-04 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-01-17 | 2022-02-04 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-01-17 | 2022-02-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-01-17 | 2022-02-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-01-17 | 2022-02-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-01-17 | 2022-02-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-07 | 2019-10-10 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-08-07 | 2019-10-10 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-08-07 | 2019-10-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-07 | 2019-10-10 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2019-08-07 | 2019-10-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-07 | 2019-10-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-07 | 2019-10-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-07 | 2019-10-10 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-08-09 | 2019-10-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-09 | 2019-10-09 | 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 | 2019-08-09 | 2019-10-09 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-08-09 | 2019-10-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-09 | 2019-10-09 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-08-27 | 2018-09-21 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-08-27 | 2018-09-21 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-08-27 | 2018-09-21 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-08-27 | 2018-09-21 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-08-27 | 2018-09-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-08-27 | 2018-09-21 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2018-08-27 | 2018-09-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-27 | 2018-09-21 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-08-27 | 2018-09-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-08-27 | 2018-09-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-27 | 2018-09-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-27 | 2018-09-21 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-08-27 | 2018-09-21 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-08-26 | 2018-09-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-08-26 | 2018-09-20 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-08-26 | 2018-09-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-08-26 | 2018-09-20 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-08-26 | 2018-09-20 | 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 | 2018-08-26 | 2018-09-20 | 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 | 2018-08-26 | 2018-09-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-26 | 2018-09-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-26 | 2018-09-20 | N |
| Keep all essential equipment working safely. | Health | 2018-08-26 | 2018-09-20 | N |
