Deficiency Records for Collington Episcopal Life Care
Updated as of July 01, 2018
This is not the most recent data for Collington Episcopal Life Care. For the most recent information, click here.
A list of the most recent deficiencies for Collington Episcopal Life Care. 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? |
|---|---|---|---|---|
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-02-13 | 2018-04-11 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-02-13 | 2018-04-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-02-13 | 2018-04-11 | 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 | 2018-02-15 | 2018-04-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-15 | 2018-04-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-02-15 | 2018-04-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-02-15 | 2018-04-01 | 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 | 2018-02-15 | 2018-04-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-15 | 2018-04-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-02-15 | 2018-04-01 | N |
| Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully. | Health | 2018-02-15 | 2018-04-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-02-15 | 2018-04-01 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-02-15 | 2018-04-01 | N |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2016-11-29 | 2017-02-22 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2016-11-29 | 2017-02-22 | 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 | 2016-11-29 | 2017-02-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-11-29 | 2017-02-22 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2016-11-29 | 2017-02-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2016-11-29 | 2017-02-22 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-11-22 | 2017-01-24 | N |
| Maintain 15 months of resident assessments in the resident's active clinical record. | Health | 2016-11-22 | 2017-01-24 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-11-22 | 2017-01-24 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-11-22 | 2017-01-24 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-11-22 | 2017-01-24 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-11-22 | 2017-01-24 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-11-22 | 2017-01-24 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-11-22 | 2017-01-24 | Y |
| Provide housekeeping and maintenance services. | Health | 2015-09-10 | 2015-10-02 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-09-10 | 2015-10-02 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-09-10 | 2015-10-02 | Y |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2015-09-10 | 2015-10-02 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-09-10 | 2015-10-02 | Y |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-09-09 | 2015-09-29 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-09-09 | 2015-09-29 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-09-09 | 2015-09-29 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-09-09 | 2015-09-29 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-09-09 | 2015-09-29 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-09-09 | 2015-09-29 | N |
