A list of the most recent deficiencies for Casey's Pond Senior Living Ltc. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-31 | 2020-01-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-31 | 2019-12-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-11-14 | 2019-12-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-11-14 | 2019-12-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-14 | 2019-12-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-14 | 2019-12-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-11-14 | 2019-12-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-31 | 2019-11-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-31 | 2019-11-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-31 | 2019-11-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-15 | 2019-01-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-15 | 2019-01-15 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-11-15 | 2019-01-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-15 | 2019-01-12 | 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 | 2018-11-15 | 2019-01-08 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2018-11-15 | 2019-01-08 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-11-15 | 2019-01-04 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-11-15 | 2019-01-01 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-11-30 | 2018-12-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-15 | 2018-12-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-15 | 2018-12-04 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-11-15 | 2018-12-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-30 | 2018-11-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-30 | 2018-11-30 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2017-08-18 | 2017-11-10 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-08-03 | 2017-10-09 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-08-18 | 2017-09-25 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-03 | 2017-09-10 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-08-18 | 2017-09-09 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-03 | 2017-09-06 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-08-03 | 2017-09-06 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-08-03 | 2017-09-06 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-08-03 | 2017-09-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-08-18 | 2017-08-23 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2017-08-18 | 2017-08-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-08-18 | 2017-08-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-08-18 | 2017-08-23 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-03 | 2017-08-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-08-18 | 2017-08-21 | N |
