A list of the most recent deficiencies for Poplar Care Strategies. 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 | 2024-01-18 | 2024-02-18 | 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 | 2024-01-18 | 2024-02-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-18 | 2024-02-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-18 | 2024-02-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-08 | 2024-02-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-08 | 2024-02-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-08 | 2024-02-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-08 | 2024-02-02 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-01-08 | 2024-02-02 | 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 | 2024-01-08 | 2024-02-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-08 | 2024-02-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-08 | 2024-02-02 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-01-08 | 2024-02-02 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-01-08 | 2024-02-02 | N |
| Meet other general requirements. | Fire Safety | 2024-01-18 | 2024-01-18 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-07-15 | 2021-08-13 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-07-15 | 2021-08-13 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-07-15 | 2021-08-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-07-15 | 2021-08-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-07-15 | 2021-08-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-15 | 2021-08-13 | 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 | 2021-07-15 | 2021-08-13 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-07-15 | 2021-08-13 | 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 | 2021-07-15 | 2021-08-13 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-07-15 | 2021-08-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-07-15 | 2021-08-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-15 | 2021-08-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-15 | 2021-08-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-15 | 2021-08-13 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-07-15 | 2021-08-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-15 | 2021-08-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-15 | 2021-08-13 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-07-08 | 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 | 2021-07-08 | 2021-07-26 | N |
| Post nurse staffing information every day. | Health | 2021-07-08 | 2021-07-26 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-07-08 | 2021-07-26 | 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 | 2021-07-08 | 2021-07-26 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-01-14 | 2020-02-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-14 | 2020-02-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-14 | 2020-02-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-14 | 2020-02-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-14 | 2020-02-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-14 | 2020-02-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-22 | 2019-11-21 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-10-22 | 2019-11-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-22 | 2019-11-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-22 | 2019-11-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-22 | 2019-11-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-10-22 | 2019-11-21 | 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 | 2019-10-22 | 2019-11-21 | 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 | 2019-10-22 | 2019-11-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-22 | 2019-11-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-22 | 2019-11-21 | N |
