CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for The Woods at Sparta of Journey LLC
View the most recent health deficiencies and inspection results for The Woods at Sparta of Journey LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Woods at Sparta of Journey LLC. Stay informed about quality of care issues.
| 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 | 2025-12-11 | 2026-02-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-12-11 | 2026-02-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-11 | 2026-02-09 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-12-11 | 2026-02-09 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2025-12-11 | 2026-01-25 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2025-12-11 | 2026-01-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-12-11 | 2026-01-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-12-11 | 2026-01-25 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-12-11 | 2026-01-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-12-11 | 2026-01-25 | N |
| Dispose of garbage and refuse properly. | Health | 2024-08-11 | 2024-09-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-11 | 2024-09-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-08-11 | 2024-09-07 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-08-11 | 2024-09-07 | 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 | 2024-08-11 | 2024-09-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-11 | 2024-09-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-11 | 2024-09-07 | 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 | 2024-08-11 | 2024-09-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-11 | 2024-09-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-08-11 | 2024-09-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-11 | 2024-09-07 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-08-11 | 2024-09-07 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-08-11 | 2024-09-07 | 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 | 2024-08-11 | 2024-09-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-08-11 | 2024-09-07 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-08-11 | 2024-09-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-08-11 | 2024-09-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-08-11 | 2024-09-07 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-08-11 | 2024-09-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-11 | 2024-09-07 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-08-11 | 2024-09-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-08-11 | 2024-09-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-08-11 | 2024-09-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-11 | 2024-09-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-11 | 2024-09-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-11 | 2024-09-07 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-08-11 | 2024-09-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-27 | 2023-09-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-27 | 2023-09-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-27 | 2023-09-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-27 | 2023-09-10 | Y |