A list of the most recent deficiencies for Risen Son Christian Village. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-10 | 2024-02-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-10 | 2024-02-07 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-01-10 | 2024-02-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-01-11 | 2024-02-02 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-01-11 | 2024-02-01 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-01-11 | 2024-02-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-01-11 | 2024-02-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-11 | 2024-02-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-11 | 2024-01-27 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-01-11 | 2024-01-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-01-11 | 2024-01-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-26 | 2023-01-26 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-02 | 2022-12-10 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-11-02 | 2022-12-10 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-11-02 | 2022-12-10 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-11-02 | 2022-12-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-02 | 2022-12-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-02 | 2022-12-10 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-11-02 | 2022-12-10 | 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 | 2022-11-02 | 2022-12-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-02 | 2022-12-10 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-11-02 | 2022-12-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-02 | 2022-12-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-02 | 2022-12-10 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-21 | 2022-11-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-10-21 | 2022-11-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-10-21 | 2022-11-02 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-10-21 | 2022-11-02 | N |
| Use approved construction type or materials. | Fire Safety | 2022-10-21 | 2022-11-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-21 | 2022-11-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-21 | 2022-11-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-21 | 2022-11-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-21 | 2022-11-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-21 | 2022-10-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-23 | 2022-07-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-23 | 2022-07-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-23 | 2022-07-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-23 | 2022-07-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-23 | 2022-07-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-23 | 2022-07-26 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-23 | 2022-07-26 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-06-23 | 2022-07-26 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-04-21 | 2021-06-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-21 | 2021-06-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-21 | 2021-06-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-21 | 2021-06-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-21 | 2021-06-01 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-04-21 | 2021-06-01 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-04-21 | 2021-06-01 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-04-21 | 2021-06-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-04-21 | 2021-06-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-21 | 2021-06-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-21 | 2021-06-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-21 | 2021-06-01 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-04-21 | 2021-06-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-21 | 2021-06-01 | Y |
| Use approved construction type or materials. | Fire Safety | 2021-04-19 | 2021-05-19 | N |
| Install resident room doors of proper design and width. | Fire Safety | 2021-04-19 | 2021-05-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-04-19 | 2021-05-19 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-04-19 | 2021-05-19 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-04-19 | 2021-05-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-19 | 2021-05-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-04-19 | 2021-05-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-04-19 | 2021-05-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-04-19 | 2021-05-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-04-19 | 2021-05-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-04-19 | 2021-05-12 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-06-23 | Not Fixed | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-23 | Not Fixed | Y |
