Deficiency Records for Peabody Retirement Community
Updated as of June 01, 2021
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? |
|---|---|---|---|---|
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-02-09 | 2021-03-15 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-02-09 | 2021-03-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-02-09 | 2021-03-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-10-29 | 2020-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-05 | 2020-10-31 | 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 | 2020-08-18 | 2020-09-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-08-18 | 2020-09-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-08-18 | 2020-09-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-08-18 | 2020-09-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-06-09 | 2020-07-24 | 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 | 2020-02-27 | 2020-07-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-02-27 | 2020-07-03 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-02-27 | 2020-07-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-27 | 2020-07-03 | N |
| Respond appropriately to all alleged violations. | Health | 2020-02-27 | 2020-07-03 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-02-27 | 2020-07-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-27 | 2020-07-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-27 | 2020-07-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-27 | 2020-07-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-02-27 | 2020-07-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-27 | 2020-07-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-27 | 2020-07-03 | N |
| Post nurse staffing information every day. | Health | 2020-02-27 | 2020-07-03 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2020-02-27 | 2020-07-03 | 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 | 2020-02-27 | 2020-07-03 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-02-27 | 2020-07-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-01-29 | 2020-01-17 | Y |
| 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 |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-05-01 | 2018-07-13 | N |
| 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 an enclosure around a vertical opening shaft. | Fire Safety | 2018-05-01 | 2018-06-08 | 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 | 2018-05-01 | 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 |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-05-01 | 2018-06-08 | N |
| Have restrictions on the use of portable space heaters. | 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 |
