A list of the most recent deficiencies for Plymouth Harbor Incorporated. 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? |
|---|---|---|---|---|
| Establish policies and procedures for volunteers. | Fire Safety | 2023-04-24 | 2023-05-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-04-24 | 2023-05-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-24 | 2023-05-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-24 | 2023-05-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-22 | 2021-10-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-09-22 | 2021-10-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-22 | 2021-10-11 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-09-22 | 2021-10-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-22 | 2021-10-11 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2021-09-22 | 2021-10-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-07 | 2019-11-27 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-11-07 | 2019-11-27 | N |
