Deficiency Records for Jefferson Community Health and Life Gardenside

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Updated as of March 01, 2024

A list of the most recent deficiencies for Jefferson Community Health and Life Gardenside. 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?
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. Fire Safety 2023-12-20 2024-02-18 N
Provide and implement an infection prevention and control program. Health 2023-12-21 2024-01-31 N
Ensure each resident receives an accurate assessment. Health 2023-12-21 2024-01-15 N
Meet requirements for sections of health care facilities separated by fire resistive construction. Fire Safety 2023-12-20 2024-01-05 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-12-20 2024-01-04 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 2023-01-04 2023-02-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-01-04 2023-02-01 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2023-01-04 2023-02-01 N
Honor the resident's right to choose his or her attending physician. Health 2021-09-16 2021-10-20 N
Post nurse staffing information every day. Health 2021-09-16 2021-10-20 N
Ensure medication error rates are not 5 percent or greater. Health 2021-09-16 2021-10-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-09-16 2021-10-20 N
Implement a program that monitors antibiotic use. Health 2021-09-16 2021-10-20 N
Provide and implement an infection prevention and control program. Health 2021-09-16 2021-10-20 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2021-09-14 2021-10-20 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-09-14 2021-10-15 N