Deficiency Records for Flora Gardens Care Center
Updated as of June 01, 2019
This is not the most recent data for Flora Gardens Care Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-03-15 | 2019-04-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-15 | 2019-04-01 | 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 | 2019-03-15 | 2019-04-01 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-15 | 2019-02-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-15 | 2019-02-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-01-17 | 2019-02-11 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-01-17 | 2019-02-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-01-17 | 2019-02-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-17 | 2019-02-11 | N |
| Post nurse staffing information every day. | Health | 2019-01-17 | 2019-02-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-17 | 2019-02-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-01-17 | 2019-02-10 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-01-17 | 2019-02-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-01-17 | 2019-02-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-17 | 2019-02-10 | 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 ne | Health | 2019-01-17 | 2019-02-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-17 | 2019-02-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-17 | 2019-02-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-01-17 | 2019-02-10 | 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 | 2018-05-31 | 2018-06-04 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-02-08 | 2018-03-10 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-02-08 | 2018-03-10 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-02-08 | 2018-03-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-08 | 2018-03-10 | 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 | 2018-02-08 | 2018-03-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-02-08 | 2018-03-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-02-08 | 2018-03-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-08 | 2018-03-10 | 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 | 2018-02-08 | 2018-03-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-02-08 | 2018-03-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-02-08 | 2018-03-10 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-02-08 | 2018-03-10 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-02-08 | 2018-03-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-02-08 | 2018-03-10 | 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 | 2018-02-08 | 2018-03-10 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-02-08 | 2018-03-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-08 | 2018-03-10 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-02-08 | 2018-03-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-01-29 | 2018-02-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-01-29 | 2018-02-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-01-29 | 2018-01-30 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-02-10 | 2017-02-27 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-02-10 | 2017-02-27 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-02-10 | 2017-02-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-02-15 | 2017-02-24 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2017-02-15 | 2017-02-24 | N |
