A list of the most recent deficiencies for Norris Square. 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 properly protected cooking facilities. | Fire Safety | 2023-11-01 | 2023-12-15 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-01 | 2023-12-15 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-01 | 2023-12-15 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-01 | 2023-12-15 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-01 | 2023-12-15 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-01 | 2023-12-15 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-11-01 | 2023-12-15 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-11-01 | 2023-12-15 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-01 | 2023-12-15 | N |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-11-03 | 2023-11-28 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-11-03 | 2023-11-28 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-03 | 2023-11-28 | N |
Provide activities to meet all resident's needs. | Health | 2023-11-03 | 2023-11-28 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-03 | 2023-11-28 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-03 | 2023-11-28 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-11-03 | 2023-11-28 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-03 | 2023-11-28 | Y |
Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-01-05 | 2023-02-17 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-05 | 2023-02-17 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-09-23 | 2021-10-28 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-23 | 2021-10-28 | 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 | 2021-09-23 | 2021-10-28 | N |
Provide and implement an infection prevention and control program. | Health | 2021-09-23 | 2021-10-28 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-22 | 2021-10-28 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-22 | 2021-10-28 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-09-22 | 2021-10-22 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-22 | 2021-10-21 | N |
Implement emergency and standby power systems. | Fire Safety | 2021-09-23 | 2021-10-19 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-17 | 2021-10-01 | Y |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-22 | 2021-09-23 | N |
Have restrictions on the use of portable space heaters. | Fire Safety | 2021-09-22 | 2021-09-23 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-09-22 | 2021-09-23 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-22 | 2021-09-23 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-22 | 2021-09-23 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-20 | 2021-08-24 | Y |