Deficiency Records for Plymouth Village
Updated as of September 01, 2020
This is not the most recent data for Plymouth Village. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-10-24 | 2017-11-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-10-24 | 2017-11-09 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2017-10-24 | 2017-11-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-24 | 2017-11-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-10-24 | 2017-11-09 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2017-10-06 | 2017-10-27 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2017-10-06 | 2017-10-27 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-10-06 | 2017-10-27 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-10-06 | 2017-10-27 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-06 | 2017-10-27 | N |
