Deficiency Records for Exira Care Center
Updated as of October 01, 2021
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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-31 | 2020-02-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-31 | 2020-02-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-31 | 2020-02-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-31 | 2020-02-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-12-31 | 2020-02-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-01-08 | 2020-01-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-08 | 2020-01-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-08 | 2020-01-17 | N |
| 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 |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-07-13 | 2017-07-26 | 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 | 2017-07-13 | 2017-07-26 | 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 |
