A list of the most recent deficiencies for Carlyle Healthcare and Sr 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-08 | 2023-06-22 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-06-08 | 2023-06-22 | 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 | 2023-06-08 | 2023-06-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-08 | 2023-06-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-08 | 2023-06-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-02 | 2023-06-09 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-06-22 | 2022-07-11 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-17 | 2022-06-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-17 | 2022-06-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-17 | 2022-06-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-17 | 2022-06-06 | 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 | 2022-05-17 | 2022-06-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-17 | 2022-06-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-17 | 2022-06-06 | 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 | 2022-05-17 | 2022-06-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-17 | 2022-06-06 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-05-11 | 2022-05-31 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-05-11 | 2022-05-31 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-05-11 | 2022-05-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-05-11 | 2022-05-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-11 | 2022-05-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-11 | 2022-05-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-11 | 2022-05-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-11 | 2022-05-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-11 | 2022-05-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-11 | 2022-05-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-01 | 2022-03-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-01 | 2022-02-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-01 | 2022-02-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-01 | 2022-02-22 | 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 | 2022-02-01 | 2022-02-22 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-02-01 | 2022-02-22 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-03-30 | 2021-05-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-30 | 2021-05-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-30 | 2021-05-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-03-30 | 2021-05-04 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2021-03-30 | 2021-05-04 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2021-03-18 | 2021-03-26 | N |
