A list of the most recent deficiencies for Home of The Innocents. 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? |
---|---|---|---|---|
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-02-12 | 2023-06-13 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-02-12 | 2023-04-13 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-12 | 2023-04-13 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-12 | 2023-04-13 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-12 | 2023-04-01 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2023-02-08 | 2023-03-31 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-02-08 | 2023-03-31 | N |
Install a two-hour-resistant firewall separation. | Fire Safety | 2023-02-08 | 2023-03-31 | 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 | 2023-02-08 | 2023-03-31 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-08 | 2023-03-31 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-08 | 2023-03-31 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-08 | 2023-03-31 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-08 | 2023-03-31 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-08 | 2023-03-31 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-08 | 2023-03-31 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-08 | 2023-03-31 | N |
Keep residents' personal and medical records private and confidential. | Health | 2022-09-14 | 2022-10-29 | Y |
Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. | Health | 2022-09-14 | 2022-10-29 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-14 | 2022-10-29 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-21 | 2022-04-20 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-21 | 2022-04-20 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-21 | 2022-04-20 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-21 | 2022-04-20 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-31 | 2019-12-31 | 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 | 2019-10-30 | 2019-12-12 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-30 | 2019-12-12 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-30 | 2019-12-12 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-08-28 | 2018-09-21 | N |