Deficiency Records for Mccrite Plaza at Briarcliff Skilled Facility
Updated as of April 01, 2024
A list of the most recent deficiencies for Mccrite Plaza at Briarcliff Skilled Facility. 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? |
|---|---|---|---|---|
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2023-03-23 | 2023-08-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-23 | 2023-05-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-23 | 2023-05-11 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-03-23 | 2023-05-05 | 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 | 2023-03-23 | 2023-05-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-23 | 2023-05-05 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-03-23 | 2023-05-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-23 | 2023-05-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-23 | 2023-05-05 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2023-03-23 | 2023-05-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-23 | 2023-05-05 | Y |
| Establish policies and procedures for medical documentation. | Fire Safety | 2023-03-23 | 2023-05-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-23 | 2023-05-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-23 | 2023-05-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-03-23 | 2023-05-05 | 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 | 2023-03-23 | 2023-05-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-23 | 2023-05-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-23 | 2023-05-05 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-03-23 | 2023-05-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-23 | 2023-05-05 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-03-23 | 2023-05-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-23 | 2023-05-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-23 | 2023-05-05 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-03-23 | 2023-03-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-13 | 2020-06-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-13 | 2020-06-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-13 | 2020-06-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-13 | 2020-06-01 | 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 | 2020-02-13 | 2020-06-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-13 | 2020-06-01 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2020-02-13 | 2020-06-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-13 | 2020-06-01 | 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 | 2020-02-13 | 2020-06-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-13 | 2020-06-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-13 | 2020-06-01 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-06-14 | 2019-07-25 | 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 | 2019-06-14 | 2019-07-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-06-14 | 2019-07-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-06-14 | 2019-07-25 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-06-14 | 2019-07-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-14 | 2019-07-25 | N |
| Post nurse staffing information every day. | Health | 2019-06-14 | 2019-07-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-14 | 2019-07-25 | N |
| Use approved construction type or materials. | Fire Safety | 2019-06-14 | 2019-07-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-14 | 2019-07-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-14 | 2019-07-25 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-06-14 | 2019-07-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-14 | 2019-07-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-14 | 2019-07-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-14 | 2019-07-25 | N |
