Deficiency Records for Exira Care Center
Updated as of May 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 |