Deficiency Records for Ignite Medical Resort Carondelet LLC
Updated as of April 01, 2024
A list of the most recent deficiencies for Ignite Medical Resort Carondelet 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-07 | 2023-10-06 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-09-07 | 2023-10-06 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-09-07 | 2023-10-06 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-07 | 2023-09-07 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-07-24 | 2023-08-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-30 | 2023-01-30 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-12-16 | 2023-01-04 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-10-24 | 2022-10-24 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-06-30 | 2022-08-08 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-06-30 | 2022-08-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-30 | 2022-08-08 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-06-30 | 2022-08-08 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-06-30 | 2022-08-08 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-06-30 | 2022-08-08 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-06-30 | 2022-08-08 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-06-30 | 2022-08-08 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-06-30 | 2022-08-08 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-06-30 | 2022-08-08 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-06-30 | 2022-08-08 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-06-30 | 2022-08-08 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-06-30 | 2022-08-08 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-06-30 | 2022-08-08 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-06-30 | 2022-08-08 | 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 | 2022-06-30 | 2022-08-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-30 | 2022-08-08 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-06-30 | 2022-08-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-30 | 2022-08-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-30 | 2022-08-08 | N |
| Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency. | Fire Safety | 2022-06-30 | 2022-08-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-30 | 2022-08-08 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-06-30 | 2022-08-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-30 | 2022-08-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-30 | 2022-08-01 | 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 | 2022-06-30 | 2022-08-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-30 | 2022-08-01 | 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 | 2022-06-30 | 2022-08-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-30 | 2022-08-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-30 | 2022-08-01 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-06-30 | 2022-08-01 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-06-30 | 2022-07-28 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2022-06-30 | 2022-06-30 | N |
| Respond appropriately to all alleged violations. | Health | 2021-06-01 | 2021-06-18 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-23 | 2019-10-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-08-23 | 2019-10-01 | 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 | 2019-08-23 | 2019-10-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-23 | 2019-10-01 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-08-23 | 2019-10-01 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2019-08-23 | 2019-10-01 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-08-23 | 2019-10-01 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-08-23 | 2019-10-01 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-08-23 | 2019-10-01 | N |
| Meet other general requirements. | Fire Safety | 2019-08-23 | 2019-10-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-23 | 2019-10-01 | 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 | 2019-08-23 | 2019-10-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-23 | 2019-10-01 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2019-08-23 | 2019-10-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-08-23 | 2019-10-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-23 | 2019-10-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-23 | 2019-10-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-23 | 2019-10-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-09-07 | 2018-10-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-09-07 | 2018-10-19 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-09-07 | 2018-10-19 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-09-07 | 2018-10-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-07 | 2018-10-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-07 | 2018-10-19 | N |
| Provide activities to meet all resident's needs. | Health | 2018-09-07 | 2018-10-19 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-09-07 | 2018-10-19 | N |
| Post nurse staffing information every day. | Health | 2018-09-07 | 2018-10-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-07 | 2018-10-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-09-07 | 2018-10-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-07 | 2018-10-19 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-09-07 | 2018-10-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-09-07 | 2018-10-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-09-07 | 2018-10-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-09-07 | 2018-10-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-09-07 | 2018-10-19 | N |
