A list of the most recent deficiencies for Ascension Casa Scalabrini. 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? |
|---|---|---|---|---|
| Install a two-hour-resistant firewall separation. | Fire Safety | 2024-01-16 | 2024-02-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-16 | 2024-02-29 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-01-16 | 2024-02-29 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-01-16 | 2024-02-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-01-16 | 2024-02-29 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-01-16 | 2024-02-29 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-01-16 | 2024-02-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-16 | 2024-02-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-16 | 2024-02-29 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-01-16 | 2024-02-29 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-01-16 | 2024-02-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-16 | 2024-02-29 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-01-16 | 2024-02-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-16 | 2024-02-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-16 | 2024-02-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-05 | 2024-02-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-05 | 2024-02-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-05 | 2024-02-09 | 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 | 2024-01-05 | 2024-02-09 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-01-05 | 2024-02-09 | N |
| Respond appropriately to all alleged violations. | Health | 2023-10-04 | 2023-11-02 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-07 | 2023-05-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-07 | 2023-04-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-07 | 2023-04-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-07 | 2023-04-16 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-03-07 | 2023-03-30 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-03-07 | 2023-03-30 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-03-07 | 2023-03-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-03-07 | 2023-03-30 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-03-07 | 2023-03-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-07 | 2023-03-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-07 | 2023-03-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-03-07 | 2023-03-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-02 | 2023-03-20 | 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 | 2023-03-02 | 2023-03-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-02 | 2023-03-20 | 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 | 2023-03-02 | 2023-03-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-22 | 2022-12-09 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-11-22 | 2022-12-09 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-10-20 | 2022-05-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-20 | 2021-11-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-15 | 2021-11-05 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2021-10-20 | 2021-11-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-10-20 | 2021-11-05 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-10-20 | 2021-11-05 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-10-20 | 2021-11-05 | 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 | 2021-10-20 | 2021-11-05 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-10-20 | 2021-11-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-20 | 2021-11-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-10-20 | 2021-11-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-10-20 | 2021-11-05 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2021-10-20 | 2021-11-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-01 | 2021-06-14 | Y |
