A list of the most recent deficiencies for Pioneer Trace Group, LLC. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-10 | 2021-06-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-14 | 2019-12-18 | 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 | 2019-11-14 | 2019-12-18 | 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 | 2019-11-12 | 2019-12-18 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-11-12 | 2019-12-18 | 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 | 2019-11-12 | 2019-12-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-11-12 | 2019-12-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-11-12 | 2019-12-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-09-13 | 2018-10-17 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-09-13 | 2018-10-17 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-09-13 | 2018-10-17 | N |
| Provide activities to meet all resident's needs. | Health | 2018-09-13 | 2018-10-17 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2018-09-13 | 2018-10-17 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2018-09-13 | 2018-10-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-13 | 2018-10-17 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-09-13 | 2018-10-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-13 | 2018-10-17 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-09-13 | 2018-10-17 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-09-11 | 2018-10-17 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2018-09-11 | 2018-10-17 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-09-11 | 2018-10-17 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2017-12-07 | 2018-01-05 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2017-12-07 | 2018-01-05 | 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 | 2017-12-07 | 2018-01-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2017-12-07 | 2018-01-05 | N |
| Ensure that laboratories employing quantities of flammable, combustible, or hazardous materials have fire resistant walls and automatic sprinkler system. | Fire Safety | 2017-12-05 | 2018-01-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-12-05 | 2018-01-05 | N |
