A list of the most recent deficiencies for Paoli Health and Living Community. 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? |
---|---|---|---|---|
Have exits that are accessible at all times. | Fire Safety | 2022-04-25 | 2022-06-01 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-04-25 | 2022-06-01 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2022-04-25 | 2022-06-01 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-25 | 2022-06-01 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-25 | 2022-06-01 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-25 | 2022-06-01 | N |
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-04-25 | 2022-06-01 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-30 | 2022-04-25 | 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 | 2022-03-30 | 2022-04-25 | N |
Provide and implement an infection prevention and control program. | Health | 2021-11-08 | 2021-11-30 | 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 | 2021-06-01 | 2021-07-08 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-01 | 2021-07-08 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-06-01 | 2021-07-08 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-01 | 2021-07-08 | N |
Keep residents' personal and medical records private and confidential. | Health | 2021-05-28 | 2021-06-19 | N |
Provide and implement an infection prevention and control program. | Health | 2021-05-28 | 2021-06-19 | N |
Provide emergency officials' contact information. | Fire Safety | 2020-01-29 | 2020-02-24 | N |
Conduct testing and exercise requirements. | Fire Safety | 2020-01-29 | 2020-02-24 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-29 | 2020-02-24 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-29 | 2020-02-24 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-01-29 | 2020-02-24 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-29 | 2020-02-24 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-22 | 2019-12-22 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-11-22 | 2019-12-22 | N |
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-11-22 | 2019-12-22 | N |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-11-22 | 2019-12-22 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-11-22 | 2019-12-22 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-11-22 | 2019-12-22 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-22 | 2019-12-22 | 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 | 2019-11-22 | 2019-12-22 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-22 | 2019-12-22 | 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 | 2019-11-22 | 2019-12-22 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-22 | 2019-12-22 | 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 | 2019-11-22 | 2019-12-22 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-11-22 | 2019-12-22 | N |
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2019-11-22 | 2019-12-22 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-22 | 2019-12-22 | N |
Provide and implement an infection prevention and control program. | Health | 2019-11-22 | 2019-12-22 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-11-22 | 2019-12-22 | N |