A list of the most recent deficiencies for Accolade Paxton Senior Living. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-17 | 2023-09-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-17 | 2023-09-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-21 | 2023-07-05 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-01 | 2023-06-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-01 | 2023-05-23 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-05-01 | 2023-05-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-01 | 2023-05-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-01 | 2023-05-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-01 | 2023-05-19 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-05-01 | 2023-05-19 | 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 | 2023-04-14 | 2023-05-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-14 | 2023-05-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-14 | 2023-05-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-14 | 2023-05-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-14 | 2023-05-03 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-11-07 | 2022-11-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-07 | 2022-11-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-13 | 2022-09-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-13 | 2022-09-20 | 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 | 2022-07-13 | 2022-09-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-13 | 2022-09-20 | 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 | 2022-07-13 | 2022-09-20 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-07-13 | 2022-09-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-13 | 2022-09-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-13 | 2022-09-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-13 | 2022-09-20 | 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 | 2022-07-13 | 2022-09-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-13 | 2022-09-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-13 | 2022-09-20 | 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 | 2022-07-13 | 2022-09-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-07-13 | 2022-09-20 | 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 | 2022-07-13 | 2022-09-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-16 | 2022-09-02 | 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 | 2022-08-16 | 2022-09-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-03 | 2022-08-19 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-07-13 | 2022-08-11 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-07-13 | 2022-08-11 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-07-13 | 2022-08-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-13 | 2022-08-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-07-13 | 2022-08-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-13 | 2022-08-11 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-07-13 | 2022-08-11 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-06-21 | 2022-07-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-21 | 2022-07-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-21 | 2022-07-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-20 | 2022-01-31 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-04 | 2022-01-25 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2021-10-19 | 2021-11-08 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-10-19 | 2021-11-03 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-10-19 | 2021-11-02 | N |
| Establish methods for sharing information. | Fire Safety | 2021-10-19 | 2021-11-02 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-10-19 | 2021-11-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-10-19 | 2021-11-02 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-10-19 | 2021-10-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-22 | 2021-10-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-09-22 | 2021-10-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-22 | 2021-10-14 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-09-22 | 2021-10-14 | N |
| Post nurse staffing information every day. | Health | 2021-09-22 | 2021-10-14 | 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 | 2021-09-22 | 2021-10-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-09-22 | 2021-10-14 | 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 | 2021-09-22 | 2021-10-14 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-09-22 | 2021-10-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-09-22 | 2021-10-14 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2021-09-22 | 2021-10-14 | N |
| Respond appropriately to all alleged violations. | Health | 2021-03-31 | 2021-04-13 | Y |
