Deficiency Records for Pleasant Acres Care Center
Updated as of July 01, 2020
This is not the most recent data for Pleasant Acres Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Pleasant Acres Care Center. 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-11 | 2019-12-31 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-12-11 | 2019-12-31 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2019-10-31 | 2019-12-16 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-10-31 | 2019-12-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-31 | 2019-12-11 | N |
| Use approved construction type or materials. | Fire Safety | 2019-10-31 | 2019-11-30 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-10-31 | 2019-11-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-31 | 2019-11-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-31 | 2019-11-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-31 | 2019-11-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-31 | 2019-11-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-10-31 | 2019-11-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-10-31 | 2019-11-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-10-31 | 2019-11-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-31 | 2019-11-30 | N |
| Be properly staffed | Fire Safety | 2019-10-31 | 2019-11-30 | 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 | 2019-10-24 | 2019-11-24 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-10-24 | 2019-11-24 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2019-10-24 | 2019-11-24 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-10-24 | 2019-11-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-10-24 | 2019-11-24 | 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 | 2019-10-24 | 2019-11-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-24 | 2019-11-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-24 | 2019-11-24 | 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 | 2019-10-24 | 2019-11-24 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2019-10-24 | 2019-11-24 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-10-24 | 2019-11-24 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-10-24 | 2019-11-24 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-10-24 | 2019-11-24 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2019-10-24 | 2019-11-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-24 | 2019-11-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-24 | 2019-11-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-24 | 2019-11-24 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2019-10-24 | 2019-11-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-21 | 2019-09-13 | Y |
| Have policies on smoking. | Health | 2019-08-21 | 2019-09-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-11-30 | 2018-12-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-11-30 | 2018-12-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-30 | 2018-12-20 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-11-30 | 2018-12-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-23 | 2018-12-20 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-10-23 | 2018-12-20 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2018-08-21 | 2018-09-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-08-21 | 2018-09-21 | 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 | 2018-08-21 | 2018-09-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-21 | 2018-09-21 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-08-21 | 2018-09-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-21 | 2018-09-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-21 | 2018-09-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-08-16 | 2018-09-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-16 | 2018-09-14 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-08-16 | 2018-09-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-16 | 2018-09-14 | 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 | 2018-08-16 | 2018-09-14 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-08-16 | 2018-09-14 | 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 | 2018-08-16 | 2018-09-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-16 | 2018-09-14 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-06-21 | 2018-07-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-21 | 2018-07-30 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2018-05-07 | 2018-05-31 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-05-07 | 2018-05-31 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-05-07 | 2018-05-31 | Y |
| Assess the resident when there is a significant change in condition | Health | 2018-05-07 | 2018-05-31 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-07 | 2018-05-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-07 | 2018-05-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-07 | 2018-05-31 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-05-07 | 2018-05-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-07 | 2018-05-31 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2018-05-07 | 2018-05-31 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2018-05-07 | 2018-05-31 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-08-29 | 2017-10-06 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-08-29 | 2017-10-06 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-08-29 | 2017-10-06 | Y |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-08-29 | 2017-10-06 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-29 | 2017-10-06 | Y |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-08-29 | 2017-10-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-29 | 2017-10-06 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-08-29 | 2017-10-06 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-08-29 | 2017-10-06 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-05-15 | 2017-06-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-05-15 | 2017-06-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-05-15 | 2017-06-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-05-15 | 2017-06-15 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-11 | 2017-05-11 | N |
| 1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compensation. | Health | 2017-05-11 | 2017-05-11 | N |
