A list of the most recent deficiencies for Terraces at The Clare. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-14 | 2023-10-31 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-25 | 2023-06-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-25 | 2023-06-16 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-05-25 | 2023-06-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-25 | 2023-06-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-25 | 2023-05-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-25 | 2023-05-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-05-25 | 2023-05-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-25 | 2023-05-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-17 | 2022-12-05 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-05 | 2022-09-07 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-08-05 | 2022-08-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-05 | 2022-08-29 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-08-05 | 2022-08-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-05 | 2022-08-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-05 | 2022-08-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-23 | 2022-07-05 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-18 | 2022-05-31 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-14 | 2021-10-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-09-14 | 2021-09-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-14 | 2021-09-29 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-09-14 | 2021-09-27 | N |
| 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 | 2021-09-14 | 2021-09-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-14 | 2021-09-27 | N |
