A list of the most recent deficiencies for Seneca Place. 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-07-07 | 2021-07-15 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-07-07 | 2021-07-15 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-07-07 | 2021-07-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-03 | 2021-05-10 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-04-03 | 2021-05-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-04-03 | 2021-05-10 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-04-03 | 2021-05-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-03 | 2021-05-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-04-03 | 2021-05-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-03 | 2021-05-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-04-03 | 2021-05-10 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-04-03 | 2021-05-10 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2021-04-03 | 2021-05-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-03 | 2021-05-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-03 | 2021-05-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-03 | 2021-05-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-03 | 2021-05-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-04-03 | 2021-05-10 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-04-03 | 2021-05-10 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2021-04-03 | 2021-05-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-03 | 2021-05-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-03 | 2021-05-10 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-04-03 | 2021-05-10 | Y |
| 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 | 2021-04-03 | 2021-05-10 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-04-03 | 2021-05-10 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2021-04-03 | 2021-05-10 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2021-04-03 | 2021-05-10 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-03-15 | 2021-05-10 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-03-15 | 2021-05-10 | 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 | 2021-03-15 | 2021-05-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-03-15 | 2021-05-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-15 | 2021-05-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-03-15 | 2021-05-10 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-03-15 | 2021-05-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-03-15 | 2021-05-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-03-15 | 2021-05-10 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-03-15 | 2021-05-10 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-03-15 | 2021-05-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-03-15 | 2021-05-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-24 | 2019-07-22 | 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 | 2019-05-24 | 2019-07-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-24 | 2019-07-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-24 | 2019-07-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-24 | 2019-07-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-24 | 2019-07-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-24 | 2019-07-22 | 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 | 2019-05-23 | 2019-07-22 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-05-23 | 2019-07-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-23 | 2019-07-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-05-23 | 2019-07-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-03-22 | 2018-05-16 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-03-22 | 2018-05-16 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-03-22 | 2018-05-16 | N |
| Respond appropriately to all alleged violations. | Health | 2018-03-22 | 2018-05-16 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-03-22 | 2018-05-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-22 | 2018-05-16 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-03-22 | 2018-05-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-22 | 2018-05-16 | 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 | 2018-03-22 | 2018-05-16 | N |
| Provide or obtain dental services for each resident. | Health | 2018-03-22 | 2018-05-16 | 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 | 2018-03-22 | 2018-05-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-22 | 2018-05-16 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-03-27 | 2018-05-16 | N |
