Deficiency Records for Linden Ponds
Updated as of October 01, 2021
This is not the most recent data for Linden Ponds. For the most recent information, click here.
A list of the most recent deficiencies for Linden Ponds. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2021-01-20 | 2021-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-07-16 | 2020-09-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-08-25 | 2020-09-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-09-19 | 2019-10-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-19 | 2019-10-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-19 | 2019-10-01 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-08-13 | 2019-09-13 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-08-13 | 2019-09-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-13 | 2019-09-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-13 | 2019-09-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-13 | 2019-09-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-13 | 2019-09-13 | 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 | 2019-08-13 | 2019-09-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-13 | 2019-09-13 | 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 | 2019-08-13 | 2019-09-13 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-08-13 | 2019-09-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-29 | 2018-07-01 | 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 | 2018-05-29 | 2018-07-01 | 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 | 2018-05-29 | 2018-07-01 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-05-29 | 2018-06-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-05-29 | 2018-06-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-05-29 | 2018-06-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-29 | 2018-06-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-05-29 | 2018-06-25 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-05-29 | 2018-06-25 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-05-29 | 2018-06-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-03-08 | 2017-03-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-02-02 | 2017-02-24 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-02-02 | 2017-02-24 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-02 | 2017-02-24 | N |
