A list of the most recent deficiencies for Christopher House of Worcester. 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? |
|---|---|---|---|---|
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-02-17 | 2023-04-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-17 | 2023-04-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-17 | 2023-04-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-17 | 2023-04-03 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-02-17 | 2023-04-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-17 | 2023-04-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-17 | 2023-04-03 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-02-17 | 2023-04-03 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-02-17 | 2023-04-03 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-02-22 | 2023-03-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-22 | 2023-03-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-22 | 2023-03-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-02-22 | 2023-03-31 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-02-22 | 2023-03-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-02-22 | 2023-03-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-22 | 2023-03-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-22 | 2023-03-31 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-01-11 | 2022-02-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-11 | 2022-02-21 | 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 | 2020-11-10 | 2020-11-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-11-10 | 2020-11-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-11-10 | 2020-11-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-09 | 2020-11-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-09 | 2020-11-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-04-10 | 2019-05-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-10 | 2019-05-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-10 | 2019-05-17 | N |
