A list of the most recent deficiencies for Ripley Crossing. 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? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2023-09-18 | 2023-10-06 | N |
| Use approved construction type or materials. | Fire Safety | 2023-09-18 | 2023-10-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-18 | 2023-10-06 | 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 | 2023-09-18 | 2023-10-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-09-18 | 2023-10-06 | 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 | 2023-09-18 | 2023-10-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-18 | 2023-10-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-18 | 2023-10-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-18 | 2023-10-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-18 | 2023-10-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-18 | 2023-10-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-09-18 | 2023-10-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-18 | 2023-10-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-18 | 2023-10-06 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-08-22 | 2023-09-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-22 | 2023-09-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-22 | 2023-09-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-22 | 2023-09-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-22 | 2023-09-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-22 | 2023-09-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-22 | 2023-09-15 | 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 | 2023-08-22 | 2023-09-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-22 | 2023-09-15 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-10-26 | 2022-12-09 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-10-26 | 2022-12-09 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-10-26 | 2022-12-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-26 | 2022-12-09 | 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 | 2022-10-26 | 2022-12-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-26 | 2022-12-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-10-26 | 2022-12-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-26 | 2022-12-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-26 | 2022-12-09 | N |
| Have an externally vented heating system. | Fire Safety | 2022-10-26 | 2022-12-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-26 | 2022-12-09 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-10-26 | 2022-12-09 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2022-10-26 | 2022-12-09 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-10-26 | 2022-12-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-26 | 2022-12-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-19 | 2022-10-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-19 | 2022-10-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-19 | 2022-10-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-09-19 | 2022-10-07 | 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 | 2022-09-19 | 2022-10-07 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-19 | 2022-10-07 | 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 | 2022-09-19 | 2022-10-07 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-09-19 | 2022-10-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-16 | 2022-01-06 | Y |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2021-09-20 | 2021-10-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-09-20 | 2021-10-15 | 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 | 2021-09-20 | 2021-10-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-20 | 2021-10-15 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-09-20 | 2021-10-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-20 | 2021-10-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-20 | 2021-10-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-31 | 2021-09-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-16 | 2021-09-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-16 | 2021-09-17 | 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 | 2021-08-16 | 2021-09-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-16 | 2021-09-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-16 | 2021-09-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-22 | 2021-05-14 | N |
