A list of the most recent deficiencies for Penfield Place. 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-10 | 2023-07-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-10 | 2023-07-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-10 | 2023-07-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-10 | 2023-07-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-10 | 2023-07-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-10 | 2023-07-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-10 | 2023-07-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-10 | 2023-07-07 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-02-10 | 2022-04-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-10 | 2022-04-08 | 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 | 2022-02-10 | 2022-04-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-02-10 | 2022-04-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-02-10 | 2022-04-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-02-10 | 2022-04-08 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2022-02-10 | 2022-04-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-10 | 2022-04-08 | N |
| Respond appropriately to all alleged violations. | Health | 2022-02-10 | 2022-03-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-10 | 2022-03-31 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-02-10 | 2022-03-31 | Y |
| 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 | 2019-09-30 | 2019-11-20 | N |
