A list of the most recent deficiencies for Flora Gardens Care Center. 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-20 | 2024-01-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-21 | 2024-01-10 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-12-20 | 2024-01-10 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-12-20 | 2024-01-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-20 | 2024-01-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-20 | 2024-01-10 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-12-20 | 2024-01-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-12-20 | 2024-01-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-20 | 2024-01-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-20 | 2024-01-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-11 | 2023-10-25 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-11 | 2023-10-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-11 | 2023-10-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-11 | 2023-10-25 | 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 | 2023-10-11 | 2023-10-25 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-20 | 2023-04-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-16 | 2023-03-29 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2023-03-20 | 2023-03-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-03 | 2023-03-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-20 | 2023-03-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-20 | 2023-03-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-03 | 2023-03-10 | 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 | 2022-06-24 | 2022-07-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-24 | 2022-07-22 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-06-24 | 2022-07-22 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-06-24 | 2022-07-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-24 | 2022-07-22 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-06-09 | 2022-06-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-09 | 2022-06-14 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-01-10 | 2022-01-27 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-01-10 | 2022-01-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-16 | 2021-10-02 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-09-16 | 2021-10-02 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2021-07-09 | 2021-07-21 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-05-04 | 2021-05-19 | Y |
