A list of the most recent deficiencies for Smith Village. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-20 | 2023-11-02 | N |
| Dispose of garbage and refuse properly. | Health | 2023-10-20 | 2023-10-25 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-10-24 | 2023-10-25 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-10-24 | 2023-10-25 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-10-24 | 2023-10-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-24 | 2023-10-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-24 | 2023-10-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-20 | 2023-10-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-20 | 2023-10-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-20 | 2023-10-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-23 | 2023-08-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-14 | 2023-06-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-20 | 2023-05-11 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-12-15 | 2023-01-31 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-12-15 | 2022-12-30 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-12-15 | 2022-12-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-12-15 | 2022-12-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-15 | 2022-12-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-15 | 2022-12-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-15 | 2022-12-30 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-12-15 | 2022-12-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-15 | 2022-12-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-12-15 | 2022-12-29 | 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 | 2022-12-08 | 2022-12-24 | 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 | 2022-12-08 | 2022-12-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-08 | 2022-12-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-08 | 2022-12-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-15 | 2022-08-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-24 | 2022-05-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-03 | 2022-03-18 | Y |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-01-25 | 2022-03-04 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-01-25 | 2022-03-04 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-01-25 | 2022-02-15 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-01-25 | 2022-02-11 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-01-25 | 2022-02-11 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-01-25 | 2022-02-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-25 | 2022-02-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-01-25 | 2022-02-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-01-25 | 2022-02-11 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-01-25 | 2022-02-11 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-01-25 | 2022-02-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-21 | 2022-01-31 | 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 | 2022-01-21 | 2022-01-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-21 | 2022-01-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-21 | 2022-01-31 | 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 | 2022-01-21 | 2022-01-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-21 | 2022-01-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-29 | 2021-08-06 | Y |
