Deficiency Records for Exira Care Center
Updated as of February 01, 2023
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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-12 | 2022-06-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-05-12 | 2022-06-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-12 | 2022-06-12 | 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 | 2022-05-12 | 2022-06-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-12 | 2022-06-12 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-05-12 | 2022-06-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-05-12 | 2022-06-12 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-05-12 | 2022-06-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-12 | 2022-06-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-12 | 2022-06-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-12 | 2022-06-12 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-05-06 | 2022-05-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-05-06 | 2022-05-20 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-05-06 | 2022-05-16 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-05-06 | 2022-05-16 | N |
| 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 |
