A list of the most recent deficiencies for Care One at Peabody. 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? |
|---|---|---|---|---|
| Ensure that residents are free from significant medication errors. | Health | 2024-02-12 | 2023-12-22 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-07 | 2023-03-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-07 | 2023-03-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-07 | 2023-03-31 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-02-07 | 2023-03-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-01 | 2023-03-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-01 | 2023-02-24 | N |
| Respond appropriately to all alleged violations. | Health | 2023-02-01 | 2023-02-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-01 | 2023-02-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-01 | 2023-02-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-01 | 2023-02-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-01 | 2023-02-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-01 | 2023-02-24 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-02-01 | 2023-02-24 | 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 | 2023-02-01 | 2023-02-24 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-02-01 | 2023-02-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-01 | 2023-02-24 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-02-01 | 2023-02-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-01 | 2023-02-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-07 | 2023-02-07 | N |
| Provide appropriate foot care. | Health | 2021-10-06 | 2021-11-03 | Y |
| Meet other general requirements. | Fire Safety | 2021-04-06 | 2021-05-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-04-06 | 2021-05-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-03-26 | 2021-04-21 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-03-26 | 2021-04-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-03-26 | 2021-04-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-26 | 2021-04-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-26 | 2021-04-21 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-03-26 | 2021-04-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-03-26 | 2021-04-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-03-26 | 2021-04-21 | N |
| Provide or obtain dental services for each resident. | Health | 2021-03-26 | 2021-04-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-26 | 2021-04-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-02-14 | 2020-10-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-14 | 2020-10-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-14 | 2020-10-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-14 | 2020-03-24 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2020-02-14 | 2020-03-24 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-02-14 | 2020-03-24 | 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 | 2020-02-14 | 2020-03-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-14 | 2020-03-24 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2020-02-14 | 2020-03-24 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2020-02-14 | 2020-03-24 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2020-02-14 | 2020-03-24 | 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 | 2020-02-14 | 2020-03-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-14 | 2020-03-24 | N |
