A list of the most recent deficiencies for Mount Carmel Bluffs. 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? |
|---|---|---|---|---|
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-01-05 | 2023-01-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-05 | 2023-01-31 | 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 | 2023-01-05 | 2023-01-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-05 | 2023-01-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-05 | 2023-01-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-01-05 | 2023-01-12 | 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 | 2023-01-05 | 2023-01-05 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-01-05 | 2023-01-05 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2021-07-26 | 2021-08-26 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-07-26 | 2021-08-26 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-07-26 | 2021-08-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-26 | 2021-08-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-26 | 2021-08-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-26 | 2021-08-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-26 | 2021-08-26 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2021-07-26 | 2021-08-26 | 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 | 2021-07-22 | 2021-08-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-22 | 2021-08-21 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2021-07-22 | 2021-08-21 | 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 | 2021-07-22 | 2021-08-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-22 | 2021-08-21 | N |
