A list of the most recent deficiencies for Notre Dame Long Term Care Center. 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 | 2023-12-20 | 2024-02-02 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-20 | 2024-02-02 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-20 | 2024-02-02 | 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 | 2023-12-15 | 2024-01-28 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-15 | 2024-01-28 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-15 | 2024-01-28 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-15 | 2024-01-28 | N |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-12-15 | 2024-01-28 | N |
Provide and implement an infection prevention and control program. | Health | 2023-12-15 | 2024-01-28 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-15 | 2024-01-28 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-08 | 2022-08-26 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-08 | 2022-08-26 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-31 | 2022-07-18 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2022-05-31 | 2022-07-18 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-31 | 2022-07-18 | N |
Ensure that residents are free from significant medication errors. | Health | 2022-05-31 | 2022-07-18 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-31 | 2022-07-18 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-15 | 2022-05-16 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-31 | 2020-03-09 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-31 | 2020-03-09 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-31 | 2020-03-09 | N |
Provide and implement an infection prevention and control program. | Health | 2020-01-31 | 2020-03-09 | N |