A list of the most recent deficiencies for Accolade Healthcare of Pontiac. 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? |
|---|---|---|---|---|
| Assess the resident when there is a significant change in condition | Health | 2023-06-08 | 2023-06-21 | 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 | 2023-06-08 | 2023-06-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-08 | 2023-06-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-08 | 2023-06-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-08 | 2023-06-21 | 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 | 2023-06-21 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-06-08 | 2023-06-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-08 | 2023-06-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-08 | 2023-06-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-08 | 2023-06-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-15 | 2023-03-28 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-03-15 | 2023-03-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-04 | 2023-01-13 | 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 | 2023-01-04 | 2023-01-13 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-07 | 2022-12-07 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-07 | 2022-11-07 | Y |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-05-24 | 2022-06-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-05-24 | 2022-06-15 | 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 | 2022-05-24 | 2022-06-13 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-05-24 | 2022-06-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-24 | 2022-06-13 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-05-24 | 2022-06-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-24 | 2022-06-13 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-05-24 | 2022-06-13 | 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 | 2022-05-13 | 2022-05-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-13 | 2022-05-27 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-03-22 | 2022-04-13 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-16 | 2022-02-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-25 | 2022-02-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-01-25 | 2022-02-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-20 | 2021-08-10 | 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 | 2021-07-20 | 2021-08-10 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-03-09 | 2021-03-23 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-03-09 | 2021-03-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-03-09 | 2021-03-11 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-03-09 | 2021-03-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-03-09 | 2021-03-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-03-09 | 2021-03-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-03-09 | 2021-03-09 | N |
