A list of the most recent deficiencies for Plymouth Village. 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? |
---|---|---|---|---|
Address subsistence needs for staff and patients. | Fire Safety | 2023-03-21 | 2023-04-20 | N |
Provide emergency officials' contact information. | Fire Safety | 2023-03-21 | 2023-04-20 | N |
Conduct testing and exercise requirements. | Fire Safety | 2023-03-21 | 2023-04-20 | N |
Implement emergency and standby power systems. | Fire Safety | 2023-03-21 | 2023-04-20 | N |
Use approved construction type or materials. | Fire Safety | 2023-03-21 | 2023-04-20 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-21 | 2023-04-20 | N |
Provide properly protected cooking facilities. | Fire Safety | 2023-03-21 | 2023-04-20 | N |
Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-03-21 | 2023-04-20 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2023-03-21 | 2023-04-20 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-21 | 2023-04-20 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-21 | 2023-04-20 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-03-21 | 2023-04-20 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-21 | 2023-04-20 | N |
Meet requirements for the use of electrical equipment. | Fire Safety | 2023-03-21 | 2023-04-20 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-21 | 2023-04-20 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-10 | 2023-04-18 | N |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-03-10 | 2023-04-18 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-03-10 | 2023-04-18 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-10 | 2023-04-18 | 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 | 2023-03-10 | 2023-04-18 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-10 | 2023-04-18 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-10 | 2023-04-18 | N |
Provide and implement an infection prevention and control program. | Health | 2023-03-10 | 2023-04-18 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-03-10 | 2023-04-18 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-28 | 2022-07-11 | Y |
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-11-01 | 2019-12-11 | N |
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-11-01 | 2019-12-11 | N |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-11-01 | 2019-12-11 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-01 | 2019-12-11 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-01 | 2019-12-11 | N |
Provide emergency officials' contact information. | Fire Safety | 2019-10-30 | 2019-11-19 | N |
Implement emergency and standby power systems. | Fire Safety | 2019-10-30 | 2019-11-19 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-30 | 2019-11-19 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-10-30 | 2019-11-19 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-30 | 2019-11-19 | N |
Conduct testing and exercise requirements. | Fire Safety | 2018-12-28 | 2019-01-31 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-12-28 | 2019-01-31 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-12-28 | 2019-01-31 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-28 | 2019-01-31 | N |
Ensure that smoke control systems are tested and documented in accordance with established engineering principles. | Fire Safety | 2018-12-28 | 2019-01-31 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-28 | 2019-01-31 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2018-12-28 | 2019-01-31 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-02 | 2018-12-10 | N |
Keep residents' personal and medical records private and confidential. | Health | 2018-11-02 | 2018-12-10 | N |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-11-02 | 2018-12-10 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-11-02 | 2018-12-10 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-02 | 2018-12-10 | 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 | 2018-11-02 | 2018-12-10 | N |
Provide activities to meet all resident's needs. | Health | 2018-11-02 | 2018-12-10 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-02 | 2018-12-10 | 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 | 2018-11-02 | 2018-12-10 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-02 | 2018-12-10 | N |
Provide and implement an infection prevention and control program. | Health | 2018-11-02 | 2018-12-10 | N |
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2018-11-02 | 2018-12-10 | N |