Deficiency Records for Robinson Terrace
Updated as of May 01, 2019
This is not the most recent data for Robinson Terrace. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 ne | 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 |
| Provide and implement an infection prevention and control program. | Health | 2019-01-14 | 2019-02-28 | N |
| Dispose of garbage and refuse properly. | Health | 2019-01-14 | 2019-02-28 | Y |
| 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 protected exits that allow the resident to escape the building. | Fire Safety | 2019-01-14 | 2019-02-19 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2017-03-03 | 2017-05-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-03-03 | 2017-05-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-03-03 | 2017-05-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-03-03 | 2017-05-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-03-03 | 2017-05-02 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-03-03 | 2017-05-02 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-03-03 | 2017-05-02 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-03-03 | 2017-05-02 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-03-03 | 2017-05-02 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-03 | 2017-05-02 | N |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2016-01-15 | 2016-03-04 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-01-15 | 2016-03-04 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-01-15 | 2016-03-04 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-01-15 | 2016-03-04 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-01-15 | 2016-03-04 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2016-01-15 | 2016-03-04 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-01-15 | 2016-03-04 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-01-15 | 2016-03-04 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2016-01-15 | 2016-03-04 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-01-15 | 2016-03-04 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-01-15 | 2016-03-04 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-01-15 | 2016-03-04 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-01-15 | 2016-03-04 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2016-01-15 | 2016-03-04 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-01-15 | 2016-03-04 | N |
