Deficiency Records for Church Home of The Protestant Episcopal Church
Updated as of June 01, 2022
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? |
|---|---|---|---|---|
| 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 |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-11-24 | 2021-01-24 | 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 |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-03-22 | 2018-05-31 | N |
| 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 |
