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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-21 | 2023-11-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-21 | 2023-11-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-21 | 2023-11-04 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-09-21 | 2023-11-04 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-02-09 | 2023-04-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-09 | 2023-04-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-02-09 | 2023-03-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-09 | 2023-03-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-09 | 2023-03-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-09 | 2023-03-25 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-02-09 | 2023-03-25 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-02-09 | 2023-03-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-09 | 2023-03-25 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-02-09 | 2023-03-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-09 | 2023-03-25 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-02-09 | 2023-03-25 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-02-09 | 2023-03-25 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-02-09 | 2023-03-25 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-02-09 | 2023-03-25 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-02-09 | 2023-03-25 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-02-09 | 2023-03-25 | N |
| Meet other general requirements. | Fire Safety | 2023-02-09 | 2023-03-25 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-02-09 | 2023-03-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-09 | 2023-03-25 | 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 | 2023-02-09 | 2023-03-25 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-02-09 | 2023-03-25 | 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 | 2023-02-09 | 2023-03-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-09 | 2023-03-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-09 | 2023-03-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-09 | 2023-03-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-02-09 | 2023-03-25 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-02-09 | 2023-03-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-09 | 2023-03-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-02-09 | 2023-03-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-09 | 2023-03-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-09 | 2023-03-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-09 | 2023-03-25 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-02-09 | 2023-03-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-13 | 2021-08-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-13 | 2021-08-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-07-13 | 2021-08-17 | 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 | 2021-07-13 | 2021-08-17 | Y |
| 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 | 2019-10-11 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-07-25 | 2019-10-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-25 | 2019-10-11 | 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 | 2019-10-11 | 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 necessary and PRN use is limited. | Health | 2019-07-25 | 2019-10-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-07-25 | 2019-10-11 | 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 | 2019-10-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-25 | 2019-10-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-07-25 | 2019-10-11 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-07-25 | 2019-10-11 | N |
| Use approved construction type or materials. | Fire Safety | 2019-07-25 | 2019-10-11 | 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 | 2019-10-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-25 | 2019-10-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-25 | 2019-10-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-07-25 | 2019-10-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-07-25 | 2019-10-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-25 | 2019-10-11 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-07-25 | 2019-10-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-25 | 2019-10-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-25 | 2019-08-30 | 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 | 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 necessary and PRN use is limited. | 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 |
| 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 scheduled meal times. | Health | 2018-09-22 | 2018-11-06 | 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 |
