A list of the most recent deficiencies for Adara Living. 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 emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-09-05 | 2023-10-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-05 | 2023-10-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-05 | 2023-10-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-05 | 2023-10-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-05 | 2023-10-06 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-09-05 | 2023-10-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-05 | 2023-10-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-09-05 | 2023-10-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-05 | 2023-10-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-08 | 2023-09-08 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2023-08-08 | 2023-09-08 | 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 | 2023-08-08 | 2023-09-08 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-08-08 | 2023-09-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-08 | 2023-09-08 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-08-08 | 2023-09-08 | N |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-08-08 | 2023-09-08 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-08-08 | 2023-09-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-08 | 2023-09-08 | N |
| Provide activities to meet all resident's needs. | Health | 2023-08-08 | 2023-09-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-08 | 2023-09-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-08 | 2023-09-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-08 | 2023-09-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-08 | 2023-09-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-08 | 2023-09-08 | 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 | 2023-08-08 | 2023-09-08 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-08-08 | 2023-09-08 | 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 | 2023-08-08 | 2023-09-08 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-08-08 | 2023-09-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-08 | 2023-09-08 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-08-08 | 2023-09-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-08 | 2023-09-08 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-08-08 | 2023-09-08 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-08 | 2023-09-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-30 | 2023-06-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-28 | 2023-05-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-28 | 2023-05-16 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-03-28 | 2023-04-26 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-28 | 2023-04-26 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-03-28 | 2023-04-26 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-28 | 2023-04-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-28 | 2023-04-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-09 | 2023-01-02 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-12-09 | 2023-01-02 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-15 | 2022-09-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-15 | 2022-09-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-15 | 2022-09-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-15 | 2022-09-15 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-06-15 | 2022-09-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-15 | 2022-09-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-15 | 2022-07-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-15 | 2022-07-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-15 | 2022-07-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-15 | 2022-07-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-06-15 | 2022-07-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-19 | 2022-06-12 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-03-25 | 2021-06-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-25 | 2021-06-15 | 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 | 2021-03-25 | 2021-03-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-03-25 | 2021-03-27 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-03-25 | 2021-03-27 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-03-25 | 2021-03-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-25 | 2021-03-27 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-03-25 | 2021-03-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-03-25 | 2021-03-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-25 | 2021-03-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-03-25 | 2021-03-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-03-25 | 2021-03-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-25 | 2021-03-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-02 | 2021-03-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-03-02 | 2021-03-15 | N |
