A list of the most recent deficiencies for Seven Hills Pediatric 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? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2023-08-31 | 2023-10-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-31 | 2023-10-05 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-08-16 | 2023-09-30 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-08-16 | 2023-09-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-16 | 2023-09-30 | 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 | 2023-08-16 | 2023-09-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-16 | 2023-09-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-16 | 2023-09-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-31 | 2023-09-22 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-08-31 | 2023-09-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-31 | 2023-09-21 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2023-08-31 | 2023-09-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-25 | 2022-07-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-25 | 2022-07-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-25 | 2022-07-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-25 | 2022-07-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-30 | 2022-01-31 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-09-09 | 2021-10-15 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-10-23 | 2019-12-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-23 | 2019-12-06 | N |
