A list of the most recent deficiencies for Boulevard Temple Care Center, LLC. 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 emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-01-30 | 2023-02-16 | 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 | 2023-01-30 | 2023-02-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-01-30 | 2023-02-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-30 | 2023-02-16 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-01-30 | 2023-02-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-30 | 2023-02-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-30 | 2023-02-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-30 | 2023-02-16 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2023-01-30 | 2023-02-16 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-01-31 | 2023-01-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-31 | 2022-09-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-31 | 2022-09-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-03 | 2022-07-05 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-10-25 | 2021-12-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-25 | 2021-12-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-10-25 | 2021-12-08 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-10-25 | 2021-12-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-10-25 | 2021-11-23 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-10-25 | 2021-11-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-10-25 | 2021-11-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-10-25 | 2021-11-23 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-10-25 | 2021-11-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-10-25 | 2021-11-23 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-10-25 | 2021-11-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-25 | 2021-11-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-10-25 | 2021-11-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-10-25 | 2021-11-23 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-10-25 | 2021-11-23 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-10-25 | 2021-11-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-25 | 2021-11-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-10-25 | 2021-11-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-10-25 | 2021-11-23 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-10-25 | 2021-11-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-25 | 2021-11-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-10-25 | 2021-11-22 | 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 | 2021-10-25 | 2021-11-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-25 | 2021-11-22 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-10-25 | 2021-11-22 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-10-25 | 2021-11-22 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-10-25 | 2021-11-22 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-10-25 | 2021-11-22 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-10-25 | 2021-11-22 | Y |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-10-25 | 2021-11-22 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-25 | 2021-11-22 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-10-14 | 2021-11-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-12 | 2021-05-03 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-24 | 2020-11-05 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2020-09-24 | 2020-11-05 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2020-09-24 | 2020-10-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-09-24 | 2020-10-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-09-24 | 2020-10-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-09-24 | 2020-10-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-09-24 | 2020-10-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-09-24 | 2020-10-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-09-24 | 2020-10-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-09-24 | 2020-10-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-09-24 | 2020-10-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-09-24 | 2020-10-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-09-24 | 2020-10-19 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2020-09-24 | 2020-10-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-09-24 | 2020-10-16 | 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 | 2020-09-24 | 2020-10-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-09-24 | 2020-10-16 | N |
