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Deficiency Records for Actors Fund Home
View the most recent health deficiencies and inspection results for Actors Fund Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Actors Fund Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2025-07-24 | 2025-08-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-07-24 | 2025-08-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-07-24 | 2025-08-18 | N |
| Install proper backup exit lighting. | Fire Safety | 2025-07-24 | 2025-08-11 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2025-07-24 | 2025-08-08 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2025-07-24 | 2025-08-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-07-24 | 2025-08-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-07-24 | 2025-08-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-07-24 | 2025-08-01 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-07-24 | 2025-08-01 | 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 | 2025-07-24 | 2025-07-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-07-24 | 2025-07-30 | 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 | 2025-07-24 | 2025-07-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-07-24 | 2025-07-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-07-24 | 2025-07-25 | N |
| Dispose of garbage and refuse properly. | Health | 2025-07-24 | 2025-07-25 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2025-07-24 | 2025-07-25 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-07-24 | 2025-07-25 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-02-05 | 2024-02-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-05 | 2024-02-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-02-05 | 2024-02-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-02-05 | 2024-02-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-05 | 2024-02-06 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-02-05 | 2024-02-06 | N |
| Post nurse staffing information every day. | Health | 2024-02-05 | 2024-02-06 | 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 | 2024-02-05 | 2024-02-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-10-28 | 2021-12-02 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-10-28 | 2021-11-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-10-28 | 2021-11-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-28 | 2021-11-01 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-10-28 | 2021-11-01 | 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 | 2021-10-28 | 2021-11-01 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-10-28 | 2021-11-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-28 | 2021-11-01 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2021-10-28 | 2021-11-01 | N |