Deficiency Records for The Retreat
Updated as of March 01, 2023
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? |
---|---|---|---|---|
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 |
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 |