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Deficiency Records for The Episcopal Church Home

View the most recent health deficiencies and inspection results for The Episcopal Church Home. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for The Episcopal Church Home. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2025-08-15 2025-09-16 N
Have properly located and lighted "Exit" signs. Fire Safety 2025-08-15 2025-09-12 N
Develop a communication plan. Fire Safety 2025-08-15 2025-09-11 N
Have simulated fire drills held at unexpected times. Fire Safety 2025-08-15 2025-09-11 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2025-08-15 2025-09-11 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2025-08-15 2025-09-11 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-10-27 2023-03-14 N
Install an approved automatic sprinkler system. Fire Safety 2022-10-27 2023-03-01 N
Meet requirements for sections of health care facilities separated by fire resistive construction. Fire Safety 2022-10-27 2023-01-31 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-10-27 2022-12-04 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-10-27 2022-12-01 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 2022-10-27 2022-11-24 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-12-13 2020-01-29 N
Ensure each resident receives an accurate assessment. Health 2019-12-13 2020-01-29 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-12-13 2020-01-29 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2019-12-13 2020-01-29 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-12-13 2020-01-29 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-12-13 2020-01-29 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-12-13 2019-12-13 N
Meet requirements for the use of electrical equipment. Fire Safety 2019-12-13 2019-12-13 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-08-15 Not Fixed Y

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