Deficiency Records for The Plaza Health Services at Santa Marta
Updated as of March 01, 2024
A list of the most recent deficiencies for The Plaza Health Services at Santa Marta. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-12-14 | 2023-01-25 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-12-14 | 2023-01-25 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-12-14 | 2023-01-25 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-12-14 | 2023-01-25 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-12-14 | 2023-01-25 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-12-14 | 2023-01-25 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-12-14 | 2023-01-25 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-12-14 | 2023-01-25 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-12-14 | 2023-01-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-12-14 | 2023-01-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-12-14 | 2023-01-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-12-14 | 2023-01-25 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-12-14 | 2023-01-25 | N |
| Use approved construction type or materials. | Fire Safety | 2022-12-14 | 2023-01-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-14 | 2023-01-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-12-14 | 2023-01-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-14 | 2023-01-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-14 | 2023-01-25 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-12-14 | 2023-01-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-14 | 2023-01-25 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-12-14 | 2023-01-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-14 | 2023-01-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-14 | 2023-01-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-14 | 2023-01-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-12-14 | 2023-01-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-14 | 2023-01-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-14 | 2023-01-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-14 | 2023-01-25 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-12-14 | 2023-01-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-14 | 2023-01-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-14 | 2023-01-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-24 | 2022-11-24 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-07-13 | 2021-09-01 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-07-13 | 2021-09-01 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-07-13 | 2021-09-01 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-07-13 | 2021-09-01 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-07-13 | 2021-09-01 | N |
| Establish methods for sharing information. | Fire Safety | 2021-07-13 | 2021-09-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-07-13 | 2021-09-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-13 | 2021-09-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-07-13 | 2021-09-01 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2021-07-13 | 2021-09-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-13 | 2021-09-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-13 | 2021-09-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-13 | 2021-09-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-13 | 2021-09-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-13 | 2021-09-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-13 | 2021-09-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-07-13 | 2021-09-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-13 | 2021-09-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-13 | 2021-09-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-13 | 2021-09-01 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-07-13 | 2021-09-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-21 | 2021-07-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-21 | 2021-07-21 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-10-21 | 2019-11-21 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-07-23 | 2019-08-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-23 | 2019-08-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-23 | 2019-08-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-07-23 | 2019-08-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-23 | 2019-08-23 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-07-23 | 2019-08-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-23 | 2019-08-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-23 | 2019-08-23 | N |
