Deficiency Records for Pelican Pointe Post Acute Nursing and Rehabilitation
Updated as of April 01, 2024
A list of the most recent deficiencies for Pelican Pointe Post Acute Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-20 | 2023-12-08 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-30 | 2023-04-01 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-01-30 | 2023-03-21 | 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 | 2023-01-30 | 2023-03-21 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-01-30 | 2023-03-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-30 | 2023-03-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-30 | 2023-03-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-30 | 2023-03-21 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-01-30 | 2023-03-21 | 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 | 2023-01-30 | 2023-03-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-30 | 2023-03-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-30 | 2023-03-02 | 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 | 2023-01-30 | 2023-03-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-30 | 2023-03-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-30 | 2023-03-02 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-01-30 | 2023-03-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-30 | 2023-03-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-30 | 2023-02-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-01-29 | 2021-03-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-19 | 2020-01-03 | N |
