Deficiency Records for Carroll House
Updated as of May 01, 2024
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Deficiency Records for Carroll House
A list of the most recent deficiencies for Carroll House. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Carroll House. 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 | 2023-12-26 | 2024-02-09 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-10-28 | 2023-02-03 | 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 | 2022-10-28 | 2023-02-03 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-10-28 | 2023-02-03 | 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 | 2022-10-28 | 2022-12-12 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-10-28 | 2022-12-12 | 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 | 2022-10-28 | 2022-12-12 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-28 | 2022-12-12 | 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 | 2022-10-28 | 2022-12-12 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-28 | 2022-12-12 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-10-28 | 2022-12-12 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-28 | 2022-12-12 | N |
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-10-28 | 2022-12-12 | N |
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-10-28 | 2022-12-12 | N |
List the names and contact information of those in the facility. | Fire Safety | 2022-10-28 | 2022-12-12 | N |
Conduct testing and exercise requirements. | Fire Safety | 2022-10-28 | 2022-12-12 | N |
Use approved construction type or materials. | Fire Safety | 2022-10-28 | 2022-12-12 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-10-28 | 2022-12-12 | 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 | 2022-10-28 | 2022-12-12 | N |
Have exits that are accessible at all times. | Fire Safety | 2022-10-28 | 2022-12-12 | N |
Meet other general requirements that are deficient. | Fire Safety | 2022-10-28 | 2022-12-12 | N |
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-10-28 | 2022-12-12 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-28 | 2022-12-12 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-10-28 | 2022-12-12 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-28 | 2022-12-12 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-28 | 2022-12-12 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-28 | 2022-12-12 | N |
Establish staff and initial training requirements. | Fire Safety | 2021-11-04 | 2022-02-01 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-19 | 2019-10-30 | 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 | 2018-07-20 | 2018-08-31 | N |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-07-20 | 2018-08-31 | N |
Meet other general requirements. | Fire Safety | 2018-07-20 | 2018-08-31 | N |
Use approved construction type or materials. | Fire Safety | 2018-07-20 | 2018-08-31 | 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 | 2018-07-20 | 2018-08-31 | N |
Install proper backup exit lighting. | Fire Safety | 2018-07-20 | 2018-08-31 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2018-07-20 | 2018-08-31 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-20 | 2018-08-31 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-20 | 2018-08-31 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-28 | Not Fixed | N |
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We can provide custom data reports based on our database of skilled nursing facilities. Anything from emails to spreadsheets to an API. Bring the data directly into Salesforce or any other CRM.