Deficiency Records for The Citadel at Myers Park, LLC
Updated as of November 01, 2018
This is not the most recent data for The Citadel at Myers Park, LLC. For the most recent information, click here.
A list of the most recent deficiencies for The Citadel at Myers Park, LLC. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2018-04-19 | 2018-06-08 | 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 | 2018-04-19 | 2018-06-08 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-04-19 | 2018-06-08 | 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 | 2018-04-19 | 2018-06-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-19 | 2018-06-08 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2018-04-19 | 2018-06-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-04-19 | 2018-06-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-04-19 | 2018-06-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-04-19 | 2018-06-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-04-19 | 2018-06-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-04-19 | 2018-06-08 | N |
| Be properly staffed | Fire Safety | 2018-04-19 | 2018-06-08 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-04-19 | 2018-06-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-19 | 2018-06-08 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-03-22 | 2018-04-19 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-03-22 | 2018-04-19 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-03-22 | 2018-04-19 | 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 | 2018-04-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-03-22 | 2018-04-19 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-03-22 | 2018-04-19 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-03-22 | 2018-04-19 | 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 | 2018-03-22 | 2018-04-19 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-03-08 | 2017-05-15 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2017-03-08 | 2017-05-15 | 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 | 2017-03-08 | 2017-05-15 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2017-03-08 | 2017-05-15 | N |
| Provide large enough exits. | Fire Safety | 2017-03-08 | 2017-05-15 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-03-08 | 2017-05-15 | 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 | 2017-03-08 | 2017-05-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-03-08 | 2017-05-15 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2017-03-08 | 2017-05-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-03-08 | 2017-05-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-03-08 | 2017-05-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-03-08 | 2017-05-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-03-08 | 2017-05-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-03-08 | 2017-05-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-03-08 | 2017-05-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-03-08 | 2017-05-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-03-08 | 2017-05-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-04-10 | 2017-05-02 | Y |
| Provide housekeeping and maintenance services. | Health | 2017-02-16 | 2017-05-02 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-02-16 | 2017-05-02 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-02-16 | 2017-05-02 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-02-16 | 2017-03-16 | Y |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2017-02-16 | 2017-03-16 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-02-16 | 2017-03-16 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-02-16 | 2017-03-16 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-02-16 | 2017-03-16 | Y |
| Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | Health | 2017-02-16 | 2017-03-16 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-02-16 | 2017-03-16 | Y |
| Approved construction type or materials. | Fire Safety | 2016-05-24 | 2016-07-08 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-05-24 | 2016-07-08 | N |
| Restrictions on the use of portable space heaters. | Fire Safety | 2016-05-24 | 2016-07-08 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-05-24 | 2016-07-08 | N |
| Provide housekeeping and maintenance services. | Health | 2016-04-29 | 2016-05-27 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-04-29 | 2016-05-27 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-04-29 | 2016-05-27 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-04-29 | 2016-05-27 | Y |
