Deficiency Records for The Citadel at Myers Park, LLC
Updated as of November 01, 2021
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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-29 | 2021-05-29 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-04-21 | 2021-05-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-26 | 2021-05-20 | N |
| Keep all essential equipment working safely. | Health | 2021-03-26 | 2021-05-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-26 | 2021-05-20 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-03-26 | 2021-05-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-12-11 | 2021-01-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-22 | 2021-01-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-10-06 | 2020-12-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-04-11 | 2020-05-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-19 | 2020-03-18 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2020-02-19 | 2020-03-18 | Y |
| Have a combustible roofing system that meets safety standards. | Fire Safety | 2019-03-19 | 2019-06-17 | 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 | 2019-03-19 | 2019-06-17 | 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 | 2019-03-19 | 2019-06-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-19 | 2019-06-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-03-19 | 2019-06-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-03-19 | 2019-06-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-19 | 2019-06-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-26 | 2019-05-21 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-02-21 | 2019-03-21 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-02-21 | 2019-03-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-02-21 | 2019-03-21 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-02-21 | 2019-03-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-21 | 2019-03-21 | 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 | 2019-02-21 | 2019-03-21 | N |
| Provide activities to meet all resident's needs. | Health | 2019-02-21 | 2019-03-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-21 | 2019-03-21 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-02-21 | 2019-03-21 | N |
| 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 |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 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 |
| 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 | 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 |
