A list of the most recent deficiencies for Generations at Applewood. 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? |
|---|---|---|---|---|
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-12-19 | 2023-12-29 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-19 | 2023-12-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-19 | 2023-12-29 | Y |
| 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 | 2023-12-19 | 2023-12-29 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-19 | 2023-12-29 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-12-19 | 2023-12-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-19 | 2023-12-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-19 | 2023-12-29 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-11-16 | 2023-11-30 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-09-01 | 2023-09-22 | 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 | 2023-09-01 | 2023-09-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-01 | 2023-09-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-01 | 2023-09-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-01 | 2023-09-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-01 | 2023-09-22 | 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 | 2023-09-01 | 2023-09-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-01 | 2023-09-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-09-01 | 2023-09-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-09-01 | 2023-09-22 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-01 | 2023-09-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-01 | 2023-09-22 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-09-06 | 2023-09-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-06 | 2023-09-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-09-06 | 2023-09-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-06 | 2023-09-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-09-06 | 2023-09-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-06 | 2023-09-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-06 | 2023-09-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-25 | 2023-07-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-25 | 2023-07-14 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-06-25 | 2023-07-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-07 | 2023-01-13 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-07 | 2022-12-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-07 | 2022-12-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-07 | 2022-12-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-06 | 2022-12-16 | Y |
| 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 | 2022-12-07 | 2022-12-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-07 | 2022-12-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-07 | 2022-12-12 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-12-07 | 2022-12-12 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-12-07 | 2022-12-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-07 | 2022-12-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-12-07 | 2022-12-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-07 | 2022-12-08 | 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 | 2022-12-07 | 2022-12-07 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-12-07 | 2022-12-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-11-18 | 2022-12-06 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-11-18 | 2022-12-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-18 | 2022-12-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-18 | 2022-12-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-18 | 2022-12-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-18 | 2022-12-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-18 | 2022-12-06 | 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 | 2022-11-18 | 2022-12-06 | 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 | 2022-11-18 | 2022-12-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-18 | 2022-12-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-09-22 | 2022-10-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-22 | 2022-10-07 | 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 | 2022-07-07 | 2022-07-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-23 | 2022-04-29 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-01-05 | 2022-01-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-05 | 2022-01-20 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-02-04 | 2021-02-26 | 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 | 2021-02-04 | 2021-02-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-02-04 | 2021-02-26 | 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 | 2021-02-04 | 2021-02-26 | 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 | 2021-02-04 | 2021-02-26 | 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 | 2021-02-09 | 2021-02-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-02-09 | 2021-02-22 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-02-09 | 2021-02-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-02-09 | 2021-02-22 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-02-09 | 2021-02-22 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2021-02-09 | 2021-02-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-02-09 | 2021-02-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-02-09 | 2021-02-22 | N |
