Deficiency Records for Church Home of The Protestant Episcopal Church
Updated as of March 01, 2024
A list of the most recent deficiencies for Church Home of The Protestant Episcopal Church. 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? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-03-11 | 2022-05-05 | 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 | 2022-03-11 | 2022-05-05 | N |
| Respond appropriately to all alleged violations. | Health | 2022-03-11 | 2022-05-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-11 | 2022-05-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-11 | 2022-05-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-11 | 2022-05-05 | N |
| Respond appropriately to all alleged violations. | Health | 2019-10-08 | 2019-12-01 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-10-08 | 2019-12-01 | 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 | 2019-10-08 | 2019-12-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-08 | 2019-12-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-08 | 2019-12-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-08 | 2019-12-01 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-01-09 | Not Fixed | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-09 | Not Fixed | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-01-09 | Not Fixed | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2024-01-09 | Not Fixed | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-09 | Not Fixed | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-09 | Not Fixed | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-01-09 | Not Fixed | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-09 | Not Fixed | N |
