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 |