A list of the most recent deficiencies for Robinson Terrace. 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? |
|---|---|---|---|---|
| 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 | 2023-03-02 | 2023-05-11 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-03-02 | 2023-05-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-02 | 2023-05-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-02 | 2023-05-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-02 | 2023-05-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-03-02 | 2023-05-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-02 | 2023-05-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-02 | 2023-05-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-02 | 2023-05-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-02 | 2023-05-01 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-03-02 | 2023-05-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-02 | 2022-12-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-02 | 2022-12-23 | 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 | 2022-07-07 | 2022-09-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-14 | 2022-01-24 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2020-10-20 | 2020-12-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-10-20 | 2020-12-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-10-20 | 2020-12-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-10-20 | 2020-12-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-10-20 | 2020-12-18 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2020-10-20 | 2020-12-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-10-20 | 2020-12-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-10-20 | 2020-11-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-20 | 2020-11-20 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2020-10-20 | 2020-11-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-10-20 | 2020-11-20 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2020-10-20 | 2020-11-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-01-14 | 2019-04-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-01-14 | 2019-03-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-01-14 | 2019-03-12 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-01-14 | 2019-02-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-14 | 2019-02-28 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-01-14 | 2019-02-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-01-14 | 2019-02-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-14 | 2019-02-28 | 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 | 2019-01-14 | 2019-02-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-14 | 2019-02-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-01-14 | 2019-02-28 | 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 | 2019-01-14 | 2019-02-28 | 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 | 2019-01-14 | 2019-02-28 | N |
| 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 | 2019-01-14 | 2019-02-28 | 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 | 2019-01-14 | 2019-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-14 | 2019-02-28 | N |
| Dispose of garbage and refuse properly. | Health | 2019-01-14 | 2019-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-14 | 2019-02-28 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-01-14 | 2019-02-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-01-14 | 2019-02-22 | 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 | 2019-01-14 | 2019-02-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-14 | 2019-02-22 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-01-14 | 2019-02-19 | N |
