A list of the most recent deficiencies for Serenity Healthcare. 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? |
|---|---|---|---|---|
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-05-10 | 2019-06-14 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-05-10 | 2019-06-14 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-05-10 | 2019-06-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-10 | 2019-06-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-10 | 2019-06-14 | 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 | 2019-05-10 | 2019-06-14 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-05-10 | 2019-06-14 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-03-05 | 2019-03-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-05 | 2019-03-14 | N |
| Use approved construction type or materials. | Fire Safety | 2019-03-05 | 2019-03-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-03-05 | 2019-03-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-05 | 2019-03-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-05 | 2019-03-08 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-03-05 | 2019-03-07 | N |
