Deficiency Records for Church Home of The Protestant Episcopal Church
Updated as of July 01, 2018
This is not the most recent data for Church Home of The Protestant Episcopal Church. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-03-22 | 2018-05-21 | N |
| Respond appropriately to all alleged violations. | Health | 2018-03-22 | 2018-05-21 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-03-22 | 2018-05-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-03-22 | 2018-05-21 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-03-22 | 2018-05-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-03-22 | 2018-05-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-22 | 2018-05-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-22 | 2018-05-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-22 | 2018-05-21 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-26 | 2017-05-26 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2016-12-21 | 2017-02-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2016-12-21 | 2017-02-15 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-12-21 | 2017-02-15 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-12-21 | 2017-02-15 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-12-21 | 2017-02-15 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-12-21 | 2017-02-15 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-05-23 | 2016-07-06 | Y |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2016-02-08 | 2016-04-03 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-02-08 | 2016-04-03 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-02-08 | 2016-04-03 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-02-08 | 2016-04-03 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-02-08 | 2016-04-03 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-02-08 | 2016-04-03 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-02-08 | 2016-04-03 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-08 | 2016-04-03 | N |
