Deficiency Records for The Living Center
Updated as of October 01, 2019
This is not the most recent data for The Living Center. For the most recent information, click here.
A list of the most recent deficiencies for The Living 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? |
|---|---|---|---|---|
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-09-22 | 2018-12-07 | 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 ne | Health | 2018-09-22 | 2018-12-07 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-09-22 | 2018-12-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-22 | 2018-12-07 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-09-22 | 2018-11-06 | 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 | 2018-09-22 | 2018-11-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-09-22 | 2018-11-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-22 | 2018-11-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-08-27 | 2018-11-06 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-09-22 | 2018-11-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-09-22 | 2018-11-06 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-09-22 | 2018-11-06 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-09-22 | 2018-11-06 | 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 | 2018-09-22 | 2018-11-06 | 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 | 2018-09-22 | 2018-11-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-22 | 2018-11-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-09-22 | 2018-11-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-22 | 2018-11-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-09-22 | 2018-11-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-22 | 2018-11-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-09-22 | 2018-11-06 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-09-22 | 2018-11-06 | 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 | 2018-09-22 | 2018-11-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-09-22 | 2018-11-06 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of schedul | Health | 2018-09-22 | 2018-11-06 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-08-17 | 2017-10-13 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-17 | 2017-10-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-08-17 | 2017-10-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-08-17 | 2017-10-11 | N |
| Provide proof that residents' personal money that is deposited with the nursing home is secure. | Health | 2017-08-17 | 2017-10-11 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-08-17 | 2017-10-11 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-08-17 | 2017-10-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-08-17 | 2017-10-11 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-08-17 | 2017-10-11 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-08-17 | 2017-10-11 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-17 | 2017-10-11 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-08-17 | 2017-10-11 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2017-08-17 | 2017-10-11 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-08-17 | 2017-10-11 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-10-17 | 2017-01-26 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-10-17 | 2017-01-26 | Y |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-11-30 | 2016-12-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-10-17 | 2016-12-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-10-17 | 2016-12-16 | Y |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-07-25 | Not Fixed | N |
| Use approved construction type or materials. | Fire Safety | 2019-07-25 | Not Fixed | 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 | 2019-07-25 | Not Fixed | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-25 | Not Fixed | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-25 | Not Fixed | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-07-25 | Not Fixed | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-07-25 | Not Fixed | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-25 | Not Fixed | N |
| Be properly staffed | Fire Safety | 2019-07-25 | Not Fixed | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-07-25 | Not Fixed | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-25 | Not Fixed | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-07-25 | Not Fixed | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-07-25 | Not Fixed | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-25 | Not Fixed | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-07-25 | Not Fixed | 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 ne | Health | 2019-07-25 | Not Fixed | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-07-25 | Not Fixed | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-25 | Not Fixed | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-25 | Not Fixed | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-07-25 | Not Fixed | N |
