A list of the most recent deficiencies for The Springs at Monarch Landing. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-31 | 2023-09-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-31 | 2023-09-13 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-08-25 | 2023-09-12 | 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 | 2023-08-25 | 2023-09-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-31 | 2023-09-09 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-08-31 | 2023-09-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-08-31 | 2023-09-07 | 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 | 2023-08-31 | 2023-09-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-31 | 2023-09-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-03 | 2023-08-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-23 | 2023-03-10 | Y |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-09-28 | 2022-10-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-28 | 2022-10-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-28 | 2022-10-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-28 | 2022-10-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-08 | 2022-09-21 | 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 | 2022-09-08 | 2022-09-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-08 | 2022-09-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-08 | 2022-09-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-09 | 2021-05-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-09 | 2021-04-28 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-04-09 | 2021-04-28 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2021-04-09 | 2021-04-16 | 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 | 2021-04-09 | 2021-04-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-09 | 2021-04-12 | N |
