Deficiency Records for The Citadel at Myers Park, LLC
Updated as of September 01, 2016
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? |
|---|---|---|---|---|
| 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 |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-06-09 | 2015-07-24 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-06-09 | 2015-07-24 | N |
| Properly maintained smoke detectors. | Fire Safety | 2015-06-09 | 2015-07-24 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-06-09 | 2015-07-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-05-07 | 2015-07-09 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-05-07 | 2015-07-09 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-05-07 | 2015-07-09 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-05-07 | 2015-06-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-05-07 | 2015-06-16 | Y |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2015-05-07 | 2015-06-16 | Y |
| Provide activities to meet the interests and needs of each resident. | Health | 2015-05-07 | 2015-06-16 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-05-07 | 2015-06-16 | Y |
| Assess in a timely manner the resident when the resident enters the nursing home. | Health | 2015-05-07 | 2015-06-16 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-05-07 | 2015-06-16 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-05-07 | 2015-06-16 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-05-07 | 2015-06-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-05-07 | 2015-06-16 | Y |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-05-07 | 2015-06-16 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2015-05-07 | 2015-06-16 | Y |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2015-05-07 | 2015-06-16 | Y |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2015-05-07 | 2015-06-16 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-05-07 | 2015-06-16 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-05-07 | 2015-06-16 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-05-07 | 2015-06-16 | Y |
| Provide housekeeping and maintenance services. | Health | 2015-05-07 | 2015-06-04 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2013-12-11 | 2014-01-08 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2013-12-11 | 2014-01-08 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2013-12-11 | 2014-01-08 | N |
| Exit stairways and towers that are smoke proof. | Fire Safety | 2013-12-11 | 2014-01-08 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2013-12-11 | 2014-01-08 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2013-12-11 | 2014-01-08 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2013-12-11 | 2014-01-08 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2013-12-11 | 2014-01-08 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2013-11-21 | 2013-12-23 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2013-11-21 | 2013-12-23 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2013-11-21 | 2013-12-23 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-11-21 | 2013-12-23 | N |
| Provide or obtain dental services for each resident. | Health | 2013-11-21 | 2013-12-23 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2013-11-21 | 2013-12-23 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2013-11-21 | 2013-12-23 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-11-21 | 2013-12-23 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2013-11-21 | 2013-12-23 | Y |
