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Deficiency Records for Luxor Nursing and Rehabilitation at Mills Pond

View the most recent health deficiencies and inspection results for Luxor Nursing and Rehabilitation at Mills Pond. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Luxor Nursing and Rehabilitation at Mills Pond. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2025-01-14 2025-02-25 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-01-14 2025-02-25 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2025-01-14 2025-02-25 N
Use approved construction type or materials. Fire Safety 2025-01-14 2025-02-25 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2025-01-14 2025-02-25 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-01-14 2025-02-25 N
Provide and implement an infection prevention and control program. Health 2025-01-14 2025-02-25 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2025-01-14 2025-01-15 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2025-01-14 2025-01-15 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-07-13 2023-08-23 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-07-13 2023-08-16 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-07-13 2023-08-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-07-13 2023-08-11 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-07-13 2023-08-11 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-07-13 2023-08-11 N
Provide and implement an infection prevention and control program. Health 2023-07-13 2023-08-11 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-07-13 2023-08-08 N
Have proper medical gas storage and administration areas. Fire Safety 2021-05-13 2021-07-12 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-05-13 2021-07-12 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-05-13 2021-07-10 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 2021-05-13 2021-07-10 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2021-05-13 2021-07-10 N
Provide and implement an infection prevention and control program. Health 2021-05-13 2021-07-10 N

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