A list of the most recent deficiencies for The Plaza Rehab and Nursing Center. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-10 | 2023-11-07 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-16 | 2023-08-14 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-05-16 | 2023-07-26 | N |
| Meet other general requirements. | Fire Safety | 2023-05-16 | 2023-07-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-16 | 2023-07-26 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-05-16 | 2023-07-26 | N |
| Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion. | Fire Safety | 2023-05-16 | 2023-07-26 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2023-05-16 | 2023-07-26 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-05-16 | 2023-07-26 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-05-16 | 2023-07-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-16 | 2023-07-26 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-05-16 | 2023-07-26 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-05-16 | 2023-07-26 | 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 | 2023-05-16 | 2023-07-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-16 | 2023-07-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-16 | 2023-07-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-05-16 | 2023-07-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-16 | 2023-07-26 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-05-16 | 2023-07-26 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-05-16 | 2023-07-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-16 | 2023-07-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-16 | 2023-07-26 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-05-16 | 2023-07-26 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-05-16 | 2023-07-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-16 | 2023-07-26 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-05-16 | 2023-07-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-16 | 2023-06-08 | 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 | 2023-05-16 | 2023-06-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-16 | 2023-06-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-09 | 2022-04-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-10 | 2022-03-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-10 | 2022-03-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-26 | 2021-12-06 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-07-08 | 2021-07-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-08 | 2021-07-30 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-07-08 | 2021-07-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-10-09 | 2020-11-27 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2020-10-09 | 2020-11-26 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2020-10-09 | 2020-11-11 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2020-10-09 | 2020-11-03 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2020-10-09 | 2020-11-03 | 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 necessary and PRN use is limited. | Health | 2020-10-09 | 2020-11-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-09 | 2020-10-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-07-11 | 2018-09-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-07-11 | 2018-08-10 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-07-11 | 2018-08-05 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-07-11 | 2018-07-25 | N |
