Deficiency Records for Garden Terrace Alzheimer's Center of Excellence
Updated as of March 01, 2024
A list of the most recent deficiencies for Garden Terrace Alzheimer's Center of Excellence. 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? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-23 | 2023-11-03 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-09-23 | 2023-11-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-14 | 2023-10-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-22 | 2023-06-08 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-14 | 2022-08-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-14 | 2022-08-25 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-07-14 | 2022-08-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-14 | 2022-08-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-14 | 2022-08-15 | 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 | 2022-07-14 | 2022-08-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-14 | 2022-08-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-07-14 | 2022-08-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-30 | 2022-07-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-30 | 2022-07-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-10 | 2021-08-18 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-06-10 | 2021-07-08 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2021-06-10 | 2021-07-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-10 | 2021-07-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-10 | 2021-07-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-06-10 | 2021-06-30 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2021-06-10 | 2021-06-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-10 | 2021-06-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-10 | 2021-06-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-10 | 2021-06-29 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2021-05-18 | 2021-06-09 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2021-05-18 | 2021-06-09 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-18 | 2021-06-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-18 | 2021-06-09 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-05-18 | 2021-06-09 | 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 | 2021-05-18 | 2021-06-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-18 | 2021-06-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-18 | 2021-06-09 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-05-18 | 2021-06-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-18 | 2021-05-18 | N |
