Deficiency Records for Flatirons Health and Rehab, LLC
Updated as of April 01, 2022
This is not the most recent data for Flatirons Health and Rehab, LLC. For the most recent information, click here.
A list of the most recent deficiencies for Flatirons Health and Rehab, LLC. 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? |
|---|---|---|---|---|
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-05-05 | 2021-06-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-05 | 2021-06-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-05-05 | 2021-05-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-05 | 2021-05-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-07 | 2021-05-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-05 | 2021-05-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-05 | 2021-05-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-05 | 2021-05-17 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2021-05-05 | 2021-05-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-05-05 | 2021-05-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-05-05 | 2021-05-11 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-05-05 | 2021-05-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-07-27 | 2020-09-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-07-27 | 2020-08-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-05-15 | 2020-06-23 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2020-01-15 | 2020-02-12 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-23 | 2019-12-02 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-06-12 | 2019-06-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-06-12 | 2019-06-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-12 | 2019-06-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-12 | 2019-06-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-06-12 | 2019-06-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-12 | 2019-06-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-12 | 2019-06-27 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-05-17 | 2019-06-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-05-17 | 2019-06-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-12 | 2019-06-25 | N |
| Provide activities to meet all resident's needs. | Health | 2019-05-17 | 2019-06-19 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2019-05-17 | 2019-06-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-17 | 2019-06-19 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-05-17 | 2019-06-19 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-06-12 | 2019-06-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-04-17 | 2018-05-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-04-17 | 2018-05-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-17 | 2018-05-17 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-04-17 | 2018-05-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-17 | 2018-05-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-04-17 | 2018-05-17 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-03-22 | 2018-04-21 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-03-22 | 2018-04-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-03-22 | 2018-04-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-03-22 | 2018-04-21 | 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 | 2018-03-22 | 2018-04-21 | N |
