Deficiency Records for Exira Care Center
Updated as of September 01, 2019
This is not the most recent data for Exira Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Exira 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? |
---|---|---|---|---|
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-11 | 2018-11-10 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-11 | 2018-11-01 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-11 | 2018-11-01 | 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 | 2018-10-11 | 2018-11-01 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-17 | 2018-10-31 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-10-17 | 2018-10-26 | 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 | 2018-10-17 | 2018-10-23 | N |
Use approved construction type or materials. | Fire Safety | 2018-10-17 | 2018-10-19 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-10-17 | 2018-10-19 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-10-17 | 2018-10-19 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2018-10-17 | 2018-10-19 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-17 | 2018-10-18 | N |
Have exits that are accessible at all times. | Fire Safety | 2017-07-18 | 2017-08-18 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-18 | 2017-08-18 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2017-07-18 | 2017-08-18 | N |
Have restrictions on the use of flammable curtains. | Fire Safety | 2017-07-18 | 2017-08-18 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2017-07-18 | 2017-08-18 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-07-13 | 2017-07-26 | N |
Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-07-13 | 2017-07-26 | Y |
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 | 2017-07-13 | 2017-07-26 | Y |
Provide activities to meet the interests and needs of each resident. | Health | 2016-05-24 | 2016-06-24 | N |
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-05-24 | 2016-06-24 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-05-24 | 2016-06-24 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-05-24 | 2016-06-24 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-05-24 | 2016-06-24 | N |
Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion, unless it is unavoidable due to resident?s clinical condition. | Health | 2016-05-24 | 2016-06-24 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-05-24 | 2016-06-24 | 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 | 2016-05-24 | 2016-06-24 | 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 | 2016-05-24 | 2016-06-24 | N |
Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2016-05-24 | 2016-06-24 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2016-05-24 | 2016-06-24 | N |
Corridor and hallway doors that block smoke. | Fire Safety | 2016-05-12 | 2016-06-10 | N |
Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-05-12 | 2016-06-09 | N |
Weekly inspections and monthly testing of generators. | Fire Safety | 2016-05-12 | 2016-06-09 | N |
Exits that are accessible at all times. | Fire Safety | 2016-05-12 | 2016-06-07 | N |
Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-05-12 | 2016-05-23 | N |