Deficiency Records for The Retreat
Updated as of August 01, 2021
This is not the most recent data for The Retreat. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
| Ensure each resident receives an accurate assessment. | Health | 2018-07-26 | 2018-09-09 | 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 | 2018-07-26 | 2018-09-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-26 | 2018-09-09 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2017-08-18 | 2017-10-04 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-08-18 | 2017-10-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-08-18 | 2017-10-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-08-18 | 2017-10-04 | N |
