Deficiency Records for Holy Spirit Retirement Home
Updated as of September 01, 2016
This is not the most recent data for Holy Spirit Retirement Home. For the most recent information, click here.
A list of the most recent deficiencies for Holy Spirit Retirement Home. 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? |
|---|---|---|---|---|
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-09-01 | 2015-10-02 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-09-01 | 2015-10-02 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-09-01 | 2015-10-02 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-09-01 | 2015-10-02 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-09-01 | 2015-10-02 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-09-01 | 2015-10-02 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-08-27 | 2015-09-27 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-08-27 | 2015-09-22 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-09-11 | 2014-10-13 | 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 | 2014-06-05 | 2014-06-30 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2014-06-05 | 2014-06-30 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2014-06-05 | 2014-06-30 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2014-06-11 | 2014-06-27 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-06-11 | 2014-06-27 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-06-11 | 2014-06-27 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2013-04-17 | 2013-05-17 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2013-04-17 | 2013-05-17 | N |
| Other fire safety features required by fire safety codes. | Fire Safety | 2013-04-17 | 2013-05-17 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2013-04-17 | 2013-05-17 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2013-04-11 | 2013-05-10 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2013-04-11 | 2013-05-10 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-04-11 | 2013-05-10 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-04-11 | 2013-05-10 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-04-11 | 2013-05-10 | N |
