Deficiency Records for Exira Care Center
Updated as of March 01, 2020
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 |
