Deficiency Records for Holy Cross Village at Notre Dame Inc
Updated as of March 01, 2024
A list of the most recent deficiencies for Holy Cross Village at Notre Dame Inc. 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 | 2023-03-24 | 2023-05-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-03-24 | 2023-05-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-24 | 2023-05-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-24 | 2023-05-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-24 | 2023-05-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-24 | 2023-05-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-27 | 2023-03-19 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-02-27 | 2023-03-19 | 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 | 2023-02-27 | 2023-03-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-27 | 2023-03-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-27 | 2023-03-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-27 | 2023-03-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-27 | 2023-03-19 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-02-06 | 2020-02-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-06 | 2020-02-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-06 | 2020-02-25 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-02-06 | 2020-02-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-02-06 | 2020-02-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-06 | 2020-02-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-19 | 2019-12-06 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-12-06 | 2018-12-21 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-12-06 | 2018-12-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-12-06 | 2018-12-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-12-06 | 2018-12-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-12-06 | 2018-12-21 | N |
