A list of the most recent deficiencies for Allure of Zion. 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 care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-02 | 2024-01-03 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-02 | 2024-01-03 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-02 | 2024-01-03 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-02 | 2024-01-03 | Y |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-01-02 | 2024-01-03 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-02 | 2024-01-03 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-23 | 2023-11-16 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-23 | 2023-10-25 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-23 | 2023-10-25 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-23 | 2023-10-25 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-14 | 2023-08-21 | Y |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-08-14 | 2023-08-21 | Y |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-08-07 | 2023-08-14 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-07 | 2023-08-14 | Y |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-08-07 | 2023-08-14 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-08-07 | 2023-08-14 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-14 | 2023-07-16 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-06-14 | 2023-07-16 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-14 | 2023-07-16 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-22 | 2023-07-12 | N |
Provide properly protected cooking facilities. | Fire Safety | 2023-06-22 | 2023-07-06 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-22 | 2023-07-04 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-14 | 2023-07-03 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-22 | 2023-07-03 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-22 | 2023-07-03 | 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 | 2023-06-14 | 2023-06-30 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-22 | 2023-06-30 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-22 | 2023-06-30 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-22 | 2023-06-30 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-22 | 2023-06-30 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-22 | 2023-06-30 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-06-14 | 2023-06-26 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-06-14 | 2023-06-26 | N |
Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-06-14 | 2023-06-26 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-24 | 2023-06-05 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-16 | 2022-08-25 | Y |
Ensure that residents are free from significant medication errors. | Health | 2022-08-16 | 2022-08-25 | Y |
Have exits that are accessible at all times. | Fire Safety | 2022-04-12 | 2022-04-29 | N |
Install proper backup exit lighting. | Fire Safety | 2022-04-12 | 2022-04-29 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-04-12 | 2022-04-29 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-04-12 | 2022-04-29 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-12 | 2022-04-29 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-12 | 2022-04-29 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-04-12 | 2022-04-29 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-12 | 2022-04-29 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-12 | 2022-04-29 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-30 | 2022-04-18 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-03-30 | 2022-04-18 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-30 | 2022-04-18 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-03-30 | 2022-04-18 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-30 | 2022-04-18 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-03-30 | 2022-04-18 | 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 | 2022-03-30 | 2022-04-18 | N |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-03-30 | 2022-04-18 | N |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-03-30 | 2022-04-18 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-02 | 2021-06-14 | Y |
Ensure that residents are free from significant medication errors. | Health | 2021-06-02 | 2021-06-14 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-26 | 2021-06-14 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-26 | 2021-06-14 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-26 | 2021-06-14 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-26 | 2021-06-14 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-05-26 | 2021-06-14 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-05-26 | 2021-06-14 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-25 | 2021-06-11 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-25 | 2021-06-08 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2021-05-25 | 2021-06-01 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-05-25 | 2021-05-28 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-25 | 2021-05-25 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-25 | 2021-05-25 | N |
Provide and implement an infection prevention and control program. | Health | 2021-05-04 | 2021-05-24 | N |