A list of the most recent deficiencies for Careone at Wall. 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? |
|---|---|---|---|---|
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-10-17 | 2024-01-15 | N |
| Enure that solid fuel-burning fireplaces are not in patient sleeping areas. | Fire Safety | 2023-10-17 | 2024-01-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-17 | 2023-11-30 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-10-17 | 2023-11-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-17 | 2023-11-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-17 | 2023-11-10 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-10-17 | 2023-11-10 | 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 | 2023-10-17 | 2023-11-04 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-10-17 | 2023-11-03 | 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 | 2023-10-17 | 2023-11-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-17 | 2023-10-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-17 | 2023-10-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-17 | 2023-10-30 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-10-17 | 2023-10-30 | 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 | 2023-10-17 | 2023-10-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-17 | 2023-10-30 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-10-17 | 2023-10-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-02 | 2022-08-17 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-06-02 | 2022-07-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-02 | 2022-06-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-02 | 2022-06-24 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-06-02 | 2022-06-24 | 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 | 2022-06-02 | 2022-06-24 | 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 | 2022-06-02 | 2022-06-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-02 | 2022-06-24 | N |
| Dispose of garbage and refuse properly. | Health | 2022-06-02 | 2022-06-24 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-06-02 | 2022-06-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-02 | 2022-06-24 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-06-02 | 2022-06-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-02 | 2022-06-24 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-06-02 | 2022-06-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-02 | 2022-06-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-02 | 2022-06-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-06-02 | 2022-06-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-22 | 2022-02-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-22 | 2022-02-05 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-12-22 | 2022-02-05 | Y |
| 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 | 2021-12-22 | 2022-02-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-17 | 2022-01-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-30 | 2021-10-25 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-30 | 2021-10-25 | Y |
| 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 | 2019-12-19 | 2019-12-31 | N |
