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Deficiency Records for Abbey Senior Health
View the most recent health deficiencies and inspection results for Abbey Senior Health. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Abbey Senior Health. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-12-19 | 2024-12-15 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-10-25 | 2024-12-13 | 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 | 2024-10-25 | 2024-12-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-25 | 2024-12-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-25 | 2024-12-13 | 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 | 2024-10-25 | 2024-12-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-25 | 2024-12-13 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-10-25 | 2024-12-13 | 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 | 2024-10-25 | 2024-12-13 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2024-10-25 | 2024-12-13 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2024-10-25 | 2024-12-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-25 | 2024-12-13 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-10-25 | 2024-12-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-25 | 2024-12-13 | N |
| Use approved construction type or materials. | Fire Safety | 2023-06-09 | 2023-12-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-09 | 2023-07-24 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-06-09 | 2023-07-24 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-06-09 | 2023-07-24 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-06-09 | 2023-07-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-09 | 2023-07-24 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-06-09 | 2023-07-24 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-06-09 | 2023-07-24 | 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 | 2023-06-09 | 2023-07-24 | 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 | 2023-06-09 | 2023-07-24 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2023-06-09 | 2023-07-24 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-06-09 | 2023-07-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-09 | 2023-07-24 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-06-09 | 2023-07-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-09 | 2023-07-24 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-06-09 | 2023-07-24 | Y |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-06-09 | 2023-07-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-09 | 2023-07-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-09 | 2023-07-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-09 | 2023-07-24 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-06-09 | 2023-07-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-09 | 2023-07-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-09 | 2023-07-24 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-06-09 | 2023-07-24 | N |
| Meet other general requirements. | Fire Safety | 2023-06-09 | 2023-07-24 | 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 | 2023-06-09 | 2023-07-24 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-06-09 | 2023-07-24 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-06-09 | 2023-07-24 | N |
| Use approved construction type or materials. | Fire Safety | 2019-11-07 | 2020-11-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-07 | 2019-12-20 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2019-11-07 | 2019-12-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-11-07 | 2019-12-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-07 | 2019-12-20 | 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 | 2019-11-07 | 2019-11-07 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-11-07 | 2019-11-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-07 | 2019-11-07 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-09-11 | Not Fixed | Y |
| Use approved construction type or materials. | Fire Safety | 2024-10-25 | Not Fixed | N |