Deficiency Records for Celebrate Senior Living of Fort Wayne
Updated as of March 01, 2024
A list of the most recent deficiencies for Celebrate Senior Living of Fort Wayne. 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 | 2024-01-25 | 2024-02-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-25 | 2024-02-11 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-10-13 | 2023-10-28 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-08-29 | 2023-09-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-29 | 2023-09-17 | Y |
| 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 | 2023-06-20 | 2023-09-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-06-06 | 2023-06-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-06 | 2023-06-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-17 | 2023-05-08 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-03-14 | 2023-04-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-31 | 2023-02-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-02 | 2022-12-21 | Y |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2022-09-19 | 2022-12-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-09-19 | 2022-12-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-19 | 2022-12-16 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-09-19 | 2022-11-01 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-09-19 | 2022-11-01 | N |
| Develop a communication plan. | Fire Safety | 2022-09-19 | 2022-11-01 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-09-19 | 2022-11-01 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-09-19 | 2022-11-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-09-19 | 2022-11-01 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-09-19 | 2022-11-01 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-09-19 | 2022-11-01 | 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 | 2022-09-19 | 2022-11-01 | 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 | 2022-09-19 | 2022-11-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-09-19 | 2022-11-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-19 | 2022-11-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-19 | 2022-11-01 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2022-09-19 | 2022-11-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-19 | 2022-11-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-19 | 2022-11-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-09-19 | 2022-11-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-19 | 2022-11-01 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-09-19 | 2022-11-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-19 | 2022-11-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-19 | 2022-11-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-07 | 2022-10-10 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-08-15 | 2022-08-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-15 | 2022-08-24 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-05-19 | 2022-05-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-01 | 2022-02-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-01 | 2022-02-15 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-06-21 | 2021-08-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-06-21 | 2021-08-19 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-06-21 | 2021-07-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-06-21 | 2021-07-26 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-06-21 | 2021-07-26 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2021-06-21 | 2021-07-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-21 | 2021-07-26 | 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 | 2021-06-21 | 2021-07-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-21 | 2021-07-26 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-06-21 | 2021-07-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-21 | 2021-07-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-21 | 2021-07-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-21 | 2021-07-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-21 | 2021-07-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-21 | 2021-07-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-21 | 2021-07-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-06-21 | 2021-07-26 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-06-21 | 2021-07-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-21 | 2021-07-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-21 | 2021-07-26 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2021-06-21 | 2021-07-26 | N |
| 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 | 2021-06-01 | 2021-06-02 | 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 | 2021-06-01 | 2021-06-02 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-06 | 2021-04-07 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-06 | 2021-04-07 | Y |
