A list of the most recent deficiencies for Canon Lodge Care 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? |
|---|---|---|---|---|
| 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 | 2023-10-26 | 2023-12-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-26 | 2023-12-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-26 | 2023-12-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-26 | 2023-12-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-26 | 2023-12-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-10-26 | 2023-12-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-26 | 2023-12-06 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-09-28 | 2023-11-09 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-28 | 2023-11-09 | 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 | 2023-09-28 | 2023-11-09 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-09-28 | 2023-11-09 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2023-09-28 | 2023-11-09 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-28 | 2023-11-09 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-09-28 | 2023-11-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-28 | 2023-11-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-10-08 | 2019-11-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-08 | 2019-11-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-08 | 2019-11-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-08 | 2019-10-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-08 | 2019-10-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-11 | 2019-09-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-11 | 2019-09-30 | 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 | 2019-09-11 | 2019-09-30 | 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 | 2019-09-11 | 2019-09-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-09-11 | 2019-09-30 | 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 | 2018-09-11 | 2018-10-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-09-11 | 2018-10-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-09-11 | 2018-10-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-11 | 2018-10-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-09-11 | 2018-10-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-09-11 | 2018-10-03 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-08-16 | 2018-09-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-16 | 2018-09-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-16 | 2018-09-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-08-16 | 2018-09-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-16 | 2018-09-19 | N |
