A list of the most recent deficiencies for Good Neighbor Home. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-02 | 2023-08-02 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-08-02 | 2023-08-02 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-10-11 | 2022-11-16 | 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 | 2022-10-11 | 2022-11-11 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-10-11 | 2022-11-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-11 | 2022-11-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-11 | 2022-11-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-10-11 | 2022-11-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-11 | 2022-10-21 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-10-11 | 2022-10-14 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-10-11 | 2022-10-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-11 | 2022-10-11 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-12-09 | 2021-12-30 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-03-17 | 2021-04-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-17 | 2021-04-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-03-17 | 2021-04-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-03-17 | 2021-04-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-17 | 2021-04-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-11 | 2021-04-02 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-06-11 | 2019-07-11 | 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 | 2019-06-11 | 2019-07-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-11 | 2019-07-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-06-11 | 2019-07-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-11 | 2019-07-11 | 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 | 2019-06-06 | 2019-07-06 | 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 | 2019-06-06 | 2019-07-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-06 | 2019-07-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-06 | 2019-07-06 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-06-11 | 2019-06-28 | N |
