Deficiency Records for The Retreat

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Updated as of May 01, 2024

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Deficiency Records for The Retreat

A list of the most recent deficiencies for The Retreat. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for The Retreat. 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?
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-11-12 2023-12-27 N
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2023-05-26 2023-05-23 Y
Provide and implement an infection prevention and control program. Health 2022-05-08 2022-06-22 N
Respond appropriately to all alleged violations. Health 2021-05-13 2021-06-07 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-05-13 2021-06-07 Y
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2021-05-13 2021-06-07 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-12-12 2020-01-26 N
Provide properly protected cooking facilities. Fire Safety 2019-12-10 2020-01-26 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-12-10 2020-01-26 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2019-12-10 2020-01-26 N

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