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 |