CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Serenity Transitional Care
View the most recent health deficiencies and inspection results for Serenity Transitional Care. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Serenity Transitional Care. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-01 | 2025-05-27 | Y |
| 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 | 2025-05-01 | 2025-05-27 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-05-01 | 2025-05-27 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-05-01 | 2025-05-27 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-05-01 | 2025-05-27 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-05-01 | 2025-05-27 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-05-01 | 2025-05-16 | N |
| Meet other general requirements. | Fire Safety | 2025-05-01 | 2025-05-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-01 | 2025-05-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-05-01 | 2025-05-16 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2025-05-01 | 2025-05-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-01 | 2025-05-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-05-01 | 2025-05-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-11 | 2024-08-14 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-07-11 | 2024-08-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-11 | 2024-08-14 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-07-11 | 2024-08-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-01 | 2024-07-25 | Y |
| Have an externally vented heating system. | Fire Safety | 2024-07-11 | 2024-07-24 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2024-07-11 | 2024-07-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-11 | 2024-07-24 | N |
| 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 |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-10 | 2019-03-14 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-05-10 | 2019-03-14 | N |
| Use approved construction type or materials. | Fire Safety | 2019-05-10 | 2019-03-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-05-10 | 2019-03-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-10 | 2019-03-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-10 | 2019-03-08 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-05-10 | 2019-03-07 | N |