A list of the most recent deficiencies for Ditmas Park Care 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? |
|---|---|---|---|---|
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-05-03 | 2022-06-28 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2022-05-03 | 2022-06-28 | N |
| Use approved construction type or materials. | Fire Safety | 2022-05-03 | 2022-06-28 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-05-03 | 2022-06-28 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-05-03 | 2022-06-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-05-03 | 2022-06-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-05-03 | 2022-06-28 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-05-03 | 2022-06-28 | 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 | 2022-05-03 | 2022-06-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-03 | 2022-06-28 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-05-03 | 2022-06-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-05-03 | 2022-06-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-03 | 2022-06-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-03 | 2022-06-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-03 | 2022-06-28 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-05-03 | 2022-06-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-05-03 | 2022-06-01 | 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 | 2022-05-03 | 2022-06-01 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-05-03 | 2022-06-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-03 | 2022-06-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-12 | 2019-10-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-12 | 2019-10-11 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-08-12 | 2019-10-11 | 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 | 2019-08-12 | 2019-10-11 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-08-12 | 2019-10-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-12 | 2019-10-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-12 | 2019-10-11 | N |
| Provide housekeeping and maintenance services. | Health | 2017-11-10 | 2018-01-03 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-11-10 | 2018-01-03 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2017-11-10 | 2018-01-03 | N |
