A list of the most recent deficiencies for Apostolic Christian Skylines. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-21 | 2024-01-12 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-01 | 2023-08-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-08-01 | 2023-08-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-01 | 2023-08-14 | 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 | 2023-07-20 | 2023-08-12 | 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 | 2022-10-06 | 2022-10-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-10-06 | 2022-10-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-10-11 | 2022-10-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-11 | 2022-10-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-11 | 2022-10-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-13 | 2022-04-25 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-04-09 | 2021-05-21 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-04-09 | 2021-05-21 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-04-09 | 2021-05-21 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-04-09 | 2021-05-21 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-04-09 | 2021-05-21 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-04-09 | 2021-05-21 | N |
| Establish methods for sharing information. | Fire Safety | 2021-04-09 | 2021-05-21 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-04-09 | 2021-05-21 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-04-09 | 2021-05-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-04-09 | 2021-05-21 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-04-09 | 2021-05-21 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2021-04-09 | 2021-04-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-09 | 2021-04-29 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-04-08 | 2021-04-22 | 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 | 2021-04-08 | 2021-04-22 | N |
