A list of the most recent deficiencies for Pioneer Ridge Retirement Community. 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 generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-02 | 2023-10-12 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-08-02 | 2023-09-08 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-08-02 | 2023-09-08 | 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 | 2023-08-02 | 2023-09-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-08-02 | 2023-09-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-02 | 2023-09-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-02 | 2023-09-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-02 | 2023-09-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-02 | 2023-09-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-02 | 2023-09-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-02 | 2023-09-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-02 | 2023-09-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-02 | 2023-09-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-02 | 2023-09-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-19 | 2023-09-01 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-07-19 | 2023-09-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-07-19 | 2023-09-01 | 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 | 2023-07-19 | 2023-09-01 | N |
| Provide activities to meet all resident's needs. | Health | 2023-07-19 | 2023-09-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-19 | 2023-09-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-19 | 2023-09-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-19 | 2023-09-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-07-19 | 2023-09-01 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-07-19 | 2023-09-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-19 | 2023-09-01 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-07-19 | 2023-09-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-19 | 2023-09-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-07 | 2023-01-27 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-11-17 | 2021-12-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-17 | 2021-12-30 | N |
| 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 | 2021-11-17 | 2021-12-30 | 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 | 2021-11-17 | 2021-12-30 | 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 | 2021-11-17 | 2021-12-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-17 | 2021-12-30 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2021-11-17 | 2021-12-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-17 | 2021-12-30 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-12-14 | 2021-12-21 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-12-14 | 2021-12-21 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2021-12-14 | 2021-12-21 | 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 | 2021-12-14 | 2021-12-21 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-12-14 | 2021-12-21 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-12-14 | 2021-12-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-12-14 | 2021-12-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-12-14 | 2021-12-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-14 | 2021-12-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-14 | 2021-12-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-14 | 2021-12-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-14 | 2021-12-21 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-12-14 | 2021-12-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-14 | 2021-12-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-14 | 2021-12-21 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-12-04 | 2020-01-08 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-11-21 | 2019-12-09 | 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 | 2019-11-21 | 2019-12-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-11-21 | 2019-12-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-21 | 2019-12-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-21 | 2019-12-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-11-21 | 2019-12-09 | N |
