A list of the most recent deficiencies for Pheasant Wood Center. 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2023-11-07 | 2023-12-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-07 | 2023-12-17 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-04-14 | 2023-05-25 | 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 | 2023-04-14 | 2023-05-25 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-04-14 | 2023-05-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-14 | 2023-05-25 | 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 | 2023-04-14 | 2023-05-25 | 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 | 2023-04-14 | 2023-05-25 | N |
| Keep all essential equipment working safely. | Health | 2023-04-14 | 2023-05-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-12 | 2023-05-16 | 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 | 2022-06-28 | 2022-12-16 | 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 | 2022-06-28 | 2022-09-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-28 | 2022-08-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-28 | 2022-08-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-06-28 | 2022-08-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-28 | 2022-08-27 | 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 | 2022-06-30 | 2022-08-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-06-30 | 2022-08-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-30 | 2022-08-15 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-06-30 | 2022-08-15 | 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 | 2021-05-18 | 2021-06-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-18 | 2021-06-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-18 | 2021-06-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-05-20 | 2021-06-11 | 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 | 2021-05-20 | 2021-06-11 | N |
