Deficiency Records for Surrey Place Nursing Center
Updated as of November 01, 2020
This is not the most recent data for Surrey Place Nursing Center. For the most recent information, click here.
A list of the most recent deficiencies for Surrey Place Nursing 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-23 | 2020-03-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-23 | 2020-03-12 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2020-01-23 | 2020-03-12 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2020-01-24 | 2020-03-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-24 | 2020-03-12 | 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 | 2020-01-24 | 2020-03-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-24 | 2020-03-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-24 | 2020-03-12 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-01-22 | 2019-03-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-01-22 | 2019-03-09 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-01-22 | 2019-03-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-22 | 2019-03-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-01-24 | 2019-03-06 | 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 | 2019-01-24 | 2019-03-06 | 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 | 2019-01-24 | 2019-03-06 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-01-24 | 2019-03-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-01-24 | 2019-03-06 | 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 | 2019-01-24 | 2019-03-06 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-01-24 | 2019-03-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-24 | 2019-03-06 | 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 | 2017-10-24 | 2017-12-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-10-24 | 2017-12-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-10-24 | 2017-12-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-10-24 | 2017-12-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-10-24 | 2017-12-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-10-24 | 2017-12-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-10-24 | 2017-12-15 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2017-10-24 | 2017-12-15 | N |
| Provide housekeeping and maintenance services. | Health | 2017-10-19 | 2017-11-25 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-10-19 | 2017-11-25 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-10-19 | 2017-11-25 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-10-19 | 2017-11-25 | N |
