Deficiency Records for Peabody Retirement Community
Updated as of February 01, 2020
This is not the most recent data for Peabody Retirement Community. For the most recent information, click here.
A list of the most recent deficiencies for Peabody Retirement 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-12-06 | 2019-12-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-23 | 2019-09-06 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-05-21 | 2019-06-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-21 | 2019-06-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-08 | 2019-04-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-13 | 2019-03-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-02-13 | 2019-03-01 | 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 | 2019-02-13 | 2019-03-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-03 | 2018-10-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-08-31 | 2018-09-05 | Y |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2018-05-01 | 2018-07-13 | N |
| Use approved construction type or materials. | Fire Safety | 2018-05-01 | 2018-07-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-05-24 | 2018-06-09 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-05-01 | 2018-06-08 | 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 | 2018-05-01 | 2018-06-08 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-05-01 | 2018-06-08 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2018-05-01 | 2018-06-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-05-01 | 2018-06-08 | N |
| Construct fire resistant interior walls. | Fire Safety | 2018-05-01 | 2018-06-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-05-01 | 2018-06-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-05-01 | 2018-06-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-01 | 2018-06-08 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-05-01 | 2018-06-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-05-01 | 2018-06-08 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-05-01 | 2018-06-08 | N |
| Be properly staffed | Fire Safety | 2018-05-01 | 2018-06-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-05-01 | 2018-06-08 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-05-01 | 2018-05-31 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-05-01 | 2018-05-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-23 | 2018-05-16 | 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 | 2018-04-23 | 2018-05-16 | N |
| 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 | 2018-04-23 | 2018-05-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-04-23 | 2018-05-16 | 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 | 2018-04-23 | 2018-05-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-04-23 | 2018-05-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2017-12-28 | 2018-01-26 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-12-28 | 2018-01-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2017-12-13 | 2018-01-12 | Y |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-07-06 | 2017-07-17 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-06 | 2017-07-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-05-11 | 2017-06-05 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-11 | 2017-06-05 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-05-11 | 2017-06-05 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-04-25 | 2017-05-25 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-04-25 | 2017-05-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-04-25 | 2017-05-25 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-04-10 | 2017-05-10 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-04-10 | 2017-05-10 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-04-10 | 2017-05-10 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-04-10 | 2017-05-10 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-04-10 | 2017-05-10 | Y |
