A list of the most recent deficiencies for Carlyle House. 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? |
---|---|---|---|---|
Implement emergency and standby power systems. | Fire Safety | 2022-11-17 | 2022-12-16 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-17 | 2022-12-16 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-17 | 2022-12-16 | 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 | 2022-11-07 | 2022-12-06 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-11-07 | 2022-12-06 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-07 | 2022-12-06 | 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 | 2022-11-07 | 2022-12-06 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-07 | 2022-12-06 | N |
Provide and implement an infection prevention and control program. | Health | 2022-11-07 | 2022-12-06 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-23 | 2022-07-01 | Y |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-05-23 | 2022-07-01 | Y |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-11-02 | 2021-12-17 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-11-02 | 2021-12-17 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2019-06-19 | 2019-07-19 | N |
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-06-19 | 2019-07-19 | 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 | 2019-06-19 | 2019-07-19 | N |