Deficiency Records for Safire Rehabilitation of Northtowns, L L C
Updated as of March 01, 2024
A list of the most recent deficiencies for Safire Rehabilitation of Northtowns, L L C. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2023-09-18 | 2024-10-30 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-09-18 | 2023-10-30 | N |
| Provide activities to meet all resident's needs. | Health | 2023-09-18 | 2023-10-30 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-09-18 | 2023-10-30 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-09-18 | 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 | 2023-09-18 | 2023-10-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-18 | 2023-10-30 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-09-18 | 2023-10-30 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-09-18 | 2023-10-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-09-18 | 2023-10-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-18 | 2023-10-30 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-09-18 | 2023-10-30 | 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 | 2023-09-18 | 2023-10-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-18 | 2023-10-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-18 | 2023-10-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-09-18 | 2023-10-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-09-18 | 2023-10-30 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-09-18 | 2023-10-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-18 | 2023-10-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-09-18 | 2023-10-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-18 | 2023-10-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-24 | 2023-03-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-24 | 2023-03-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-10 | 2022-03-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-10 | 2022-03-21 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-11-19 | 2022-01-06 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-11-19 | 2022-01-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-11-19 | 2022-01-06 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-11-19 | 2022-01-06 | N |
| Keep all essential equipment working safely. | Health | 2021-11-19 | 2022-01-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-19 | 2022-01-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-11-19 | 2022-01-06 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-11-19 | 2022-01-06 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-11-19 | 2022-01-06 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-11-19 | 2022-01-06 | 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 | 2021-11-19 | 2022-01-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-11-19 | 2022-01-06 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-11-19 | 2022-01-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-19 | 2022-01-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-19 | 2022-01-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-11-19 | 2022-01-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-11-19 | 2022-01-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-11-19 | 2022-01-06 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-11-19 | 2022-01-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-19 | 2022-01-06 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2021-11-19 | 2022-01-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-19 | 2022-01-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-19 | 2022-01-06 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-11-19 | 2022-01-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-19 | 2022-01-06 | 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 | 2021-09-29 | 2021-10-08 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-02-18 | 2020-06-29 | 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 | 2020-02-18 | 2020-06-29 | N |
| Respond appropriately to all alleged violations. | Health | 2020-02-18 | 2020-06-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-18 | 2020-06-29 | 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 | 2020-02-18 | 2020-06-29 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2020-02-18 | 2020-06-29 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-02-18 | 2020-06-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-18 | 2020-06-29 | N |
| Keep all essential equipment working safely. | Health | 2020-02-18 | 2020-06-29 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2020-02-18 | 2020-06-29 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2020-02-18 | 2020-06-29 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-02-18 | 2020-06-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-18 | 2020-06-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-18 | 2020-06-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-18 | 2020-06-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-18 | 2020-06-29 | N |
| Use approved construction type or materials. | Fire Safety | 2023-09-18 | Not Fixed | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-09-18 | Not Fixed | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-18 | Not Fixed | N |
| Use approved construction type or materials. | Fire Safety | 2021-11-19 | Not Fixed | N |
| Use approved construction type or materials. | Fire Safety | 2020-02-18 | Not Fixed | N |
