A list of the most recent deficiencies for Caritas Center, Inc. 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? |
|---|---|---|---|---|
| Establish staff and initial training requirements. | Fire Safety | 2022-09-27 | 2022-11-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-09-27 | 2022-11-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-27 | 2022-11-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-27 | 2022-11-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-09-27 | 2022-11-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-27 | 2022-11-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-27 | 2022-11-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-27 | 2022-11-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-09-27 | 2022-11-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-09 | 2021-06-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-09 | 2021-06-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-09 | 2021-06-15 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-04-22 | 2021-05-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-22 | 2021-05-11 | 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 | 2021-04-22 | 2021-05-11 | 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 | 2021-04-22 | 2021-05-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-09-24 | 2019-10-08 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-09-10 | 2019-10-08 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-09-10 | 2019-10-08 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-09-10 | 2019-10-08 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-09-10 | 2019-10-08 | 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 | 2019-09-10 | 2019-10-08 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-09-10 | 2019-10-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-10 | 2019-10-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-10 | 2019-10-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-10 | 2019-10-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-10 | 2019-10-08 | N |
