A list of the most recent deficiencies for Caroleton Healthcare Center. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-03 | 2023-01-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-01-03 | 2023-01-19 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-01-03 | 2023-01-19 | 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 | 2023-01-03 | 2023-01-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-03 | 2023-01-19 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-01-03 | 2023-01-19 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-01-03 | 2023-01-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-03 | 2023-01-19 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-01-03 | 2023-01-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-03 | 2023-01-19 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-01-03 | 2023-01-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-01-03 | 2023-01-19 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-01-03 | 2023-01-19 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-12-02 | 2023-01-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-02 | 2023-01-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-12-02 | 2023-01-06 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-03 | 2022-10-21 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-10-03 | 2022-10-21 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-09 | 2021-04-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-09 | 2021-04-30 | 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 | 2020-02-04 | 2020-03-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-02-04 | 2020-03-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-02-04 | 2020-03-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-02-04 | 2020-03-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-04 | 2020-03-05 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-11-27 | 2018-12-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-11-27 | 2018-12-07 | 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 | 2018-11-27 | 2018-12-07 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-11-27 | 2018-12-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-11-27 | 2018-12-07 | 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 | 2018-11-27 | 2018-12-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-11-27 | 2018-12-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-27 | 2018-12-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-27 | 2018-12-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-11-27 | 2018-12-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-11-27 | 2018-12-07 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-11-27 | 2018-12-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-27 | 2018-12-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-27 | 2018-12-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-11-27 | 2018-12-07 | N |
