A list of the most recent deficiencies for Riverwoods at Exeter. 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? |
|---|---|---|---|---|
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-02-24 | 2023-04-06 | N |
| Report COVID19 data to residents and families. | Health | 2023-02-24 | 2023-04-06 | 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 | 2023-02-24 | 2023-04-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-24 | 2023-03-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-24 | 2023-03-27 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-28 | 2023-03-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-28 | 2023-03-21 | 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 | 2023-02-24 | 2023-03-16 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-02-24 | 2023-03-04 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-04-19 | 2022-06-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-19 | 2022-06-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-19 | 2022-06-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-19 | 2022-06-10 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-04-19 | 2022-06-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-19 | 2022-05-17 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-04-02 | 2021-06-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-04-02 | 2021-06-01 | 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 | 2021-04-02 | 2021-06-01 | 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 | 2021-04-02 | 2021-06-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-02 | 2021-06-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-04-01 | 2021-05-28 | 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 | 2021-04-01 | 2021-05-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-04-01 | 2021-05-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-04-01 | 2021-05-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-01 | 2021-05-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-04-01 | 2021-05-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-04-01 | 2021-05-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-01 | 2021-05-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-04-01 | 2021-05-28 | N |
