Deficiency Records for Morning Breeze Retirement Community and Healthcare
Updated as of July 01, 2022
This is not the most recent data for Morning Breeze Retirement Community and Healthcare. For the most recent information, click here.
A list of the most recent deficiencies for Morning Breeze Retirement Community and Healthcare. 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? |
|---|---|---|---|---|
| Ensure that residents are free from significant medication errors. | Health | 2022-01-13 | 2022-01-28 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2021-07-21 | 2021-08-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-07-21 | 2021-08-20 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-07-21 | 2021-08-20 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-07-21 | 2021-08-20 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-07-21 | 2021-08-20 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-07-21 | 2021-08-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-07-21 | 2021-08-20 | N |
| Use approved construction type or materials. | Fire Safety | 2021-07-21 | 2021-08-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-21 | 2021-08-20 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-07-21 | 2021-08-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-21 | 2021-08-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-07-21 | 2021-08-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-21 | 2021-08-20 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-07-21 | 2021-08-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-21 | 2021-08-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-07-21 | 2021-08-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-21 | 2021-08-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-07-21 | 2021-08-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-21 | 2021-08-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-07-21 | 2021-08-20 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2021-07-21 | 2021-08-20 | 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 | 2021-06-28 | 2021-07-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-28 | 2021-07-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-28 | 2021-07-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-28 | 2021-07-26 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-06-28 | 2021-07-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-28 | 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 | 2021-06-28 | 2021-07-26 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2021-06-28 | 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 | 2021-06-28 | 2021-07-26 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-06-28 | 2021-07-26 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-08-01 | 2019-08-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-08-01 | 2019-08-21 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-08-01 | 2019-08-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-01 | 2019-08-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-01 | 2019-08-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-21 | 2019-07-19 | 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 | 2019-06-21 | 2019-07-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-21 | 2019-07-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-06-21 | 2019-07-19 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-06-25 | 2018-07-20 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-06-25 | 2018-07-20 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2018-06-25 | 2018-07-20 | 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 | 2018-06-25 | 2018-07-20 | 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 | 2018-06-25 | 2018-07-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-06-25 | 2018-07-20 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-06-25 | 2018-07-20 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-06-25 | 2018-07-20 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-06-25 | 2018-07-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-06-25 | 2018-07-20 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2018-06-25 | 2018-07-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-06 | 2018-06-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-06-06 | 2018-06-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-06 | 2018-06-20 | N |
