A list of the most recent deficiencies for Dooley Center. 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 approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-08 | 2022-09-12 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-09-08 | 2022-09-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-09-08 | 2022-09-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-08 | 2022-09-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-09-08 | 2022-09-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-08 | 2022-09-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-08 | 2022-09-09 | N |
| Use approved construction type or materials. | Fire Safety | 2022-09-08 | 2022-09-08 | 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 | 2022-09-08 | 2022-09-08 | 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 | 2022-07-21 | 2022-08-04 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-07-21 | 2022-08-04 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-07-21 | 2022-08-04 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-04-20 | 2021-05-22 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-04-20 | 2021-05-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-04-20 | 2021-05-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-04-20 | 2021-05-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-04-20 | 2021-05-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-04-20 | 2021-05-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-20 | 2021-05-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-04-20 | 2021-05-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-04-20 | 2021-05-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-20 | 2021-05-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-27 | 2019-07-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-06-05 | 2019-07-02 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-06-05 | 2019-07-02 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2019-06-05 | 2019-07-02 | 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 | 2019-06-05 | 2019-07-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-05 | 2019-07-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-05 | 2019-07-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-05 | 2019-07-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-05 | 2019-07-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-06-05 | 2019-07-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-05 | 2019-07-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-05 | 2019-07-02 | N |
