Deficiency Records for Bishop Noa Home For Senior Citizens
Updated as of July 01, 2021
This is not the most recent data for Bishop Noa Home For Senior Citizens. For the most recent information, click here.
A list of the most recent deficiencies for Bishop Noa Home For Senior Citizens. 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 | 2020-10-27 | 2020-11-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-10-27 | 2020-11-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-27 | 2020-11-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-10-27 | 2020-11-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-10-27 | 2020-11-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-10-27 | 2020-11-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-10-27 | 2020-11-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-10-15 | 2020-11-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-15 | 2020-11-15 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-04-23 | 2019-06-07 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-04-23 | 2019-06-07 | N |
| Use approved construction type or materials. | Fire Safety | 2019-04-23 | 2019-06-07 | 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 | 2019-04-23 | 2019-06-07 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-04-23 | 2019-06-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-04-23 | 2019-06-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-04-23 | 2019-06-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-23 | 2019-06-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-23 | 2019-06-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-04-23 | 2019-06-07 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-04-23 | 2019-06-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-04-23 | 2019-06-07 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-04-23 | 2019-06-07 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-04-23 | 2019-06-07 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-04-23 | 2019-06-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-23 | 2019-06-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-04-25 | 2019-05-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-25 | 2019-05-23 | 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 | 2019-04-25 | 2019-05-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-25 | 2019-05-23 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-05-21 | 2018-06-21 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-05-21 | 2018-06-21 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-05-24 | 2018-06-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-05-24 | 2018-06-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-05-24 | 2018-06-21 | N |
| Respond appropriately to all alleged violations. | Health | 2018-05-24 | 2018-06-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-24 | 2018-06-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-24 | 2018-06-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-05-21 | 2018-06-14 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2018-05-21 | 2018-06-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-05-21 | 2018-05-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-21 | 2018-05-31 | N |
