Deficiency Records for Piedmont Gardens Health Facility

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Updated as of March 01, 2024

A list of the most recent deficiencies for Piedmont Gardens Health Facility. 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?
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-02-06 2023-03-17 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-02-06 2023-03-17 Y
Conduct risk assessment and an All-Hazards approach. Fire Safety 2022-11-22 2023-01-05 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-11-22 2023-01-05 N
Install an approved automatic sprinkler system. Fire Safety 2022-11-22 2023-01-05 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-11-22 2023-01-05 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2022-11-22 2023-01-05 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2022-11-17 2022-11-25 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-11-17 2022-11-25 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2022-11-17 2022-11-25 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-11-17 2022-11-25 N
Implement a program that monitors antibiotic use. Health 2022-11-17 2022-11-25 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-06-26 2019-07-08 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-06-26 2019-07-08 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-06-26 2019-07-08 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-06-26 2019-07-08 N
Have proper medical gas storage and administration areas. Fire Safety 2019-06-26 2019-07-08 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-04-11 2019-05-03 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2019-04-11 2019-05-03 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 2019-04-11 2019-05-03 N
Use approved construction type or materials. Fire Safety 2018-06-19 2018-07-05 N
Provide properly protected cooking facilities. Fire Safety 2018-06-19 2018-07-05 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2018-06-19 2018-07-05 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2018-06-19 2018-07-05 N
Provide and implement an infection prevention and control program. Health 2018-05-03 2018-06-03 N