A list of the most recent deficiencies for Ascension Nazarethville Place. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2023-10-11 | 2023-12-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-11 | 2023-10-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-11 | 2023-10-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-11 | 2023-10-11 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-10-11 | 2023-10-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-11 | 2023-10-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-17 | 2022-12-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-30 | 2022-12-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-30 | 2022-12-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-30 | 2022-12-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-30 | 2022-12-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-11-30 | 2022-12-09 | 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 | 2022-11-30 | 2022-12-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-30 | 2022-12-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-30 | 2022-12-02 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-11 | 2022-05-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-11 | 2022-05-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-05-11 | 2022-05-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-11 | 2022-05-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-03 | 2022-05-04 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-10-06 | 2021-12-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-06 | 2021-12-15 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-10-06 | 2021-12-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-10-06 | 2021-12-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-25 | 2021-11-20 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-10-08 | 2021-11-18 | 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 | 2021-10-08 | 2021-11-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-08 | 2021-11-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-10-06 | 2021-11-02 | N |
| Have an externally vented heating system. | Fire Safety | 2021-10-06 | 2021-11-01 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-10-06 | 2021-10-29 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-10-06 | 2021-10-22 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-10-06 | 2021-10-22 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-10-06 | 2021-10-22 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-10-06 | 2021-10-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-10-06 | 2021-10-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-10-06 | 2021-10-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-10-06 | 2021-10-21 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-10-06 | 2021-10-21 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-10-06 | 2021-10-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-10-06 | 2021-10-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-06 | 2021-10-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-03-20 | 2021-04-08 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-03-20 | 2021-04-08 | Y |
