Deficiency Records for The Carrolton of Plymouth
Updated as of August 01, 2021
This is not the most recent data for The Carrolton of Plymouth. For the most recent information, click here.
A list of the most recent deficiencies for The Carrolton of Plymouth. 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? |
|---|---|---|---|---|
| Have exits that are accessible at all times. | Fire Safety | 2019-06-04 | 2019-06-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-04 | 2019-06-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-04 | 2019-06-21 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2019-04-19 | 2019-05-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-19 | 2019-05-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-19 | 2019-05-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-04-19 | 2019-05-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-19 | 2019-05-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-19 | 2019-05-08 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-03-07 | 2019-03-22 | Y |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2019-03-07 | 2019-03-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-07 | 2019-03-01 | Y |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-04-04 | 2018-04-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-04-04 | 2018-04-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-04 | 2018-04-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-03-01 | 2018-03-22 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-03-01 | 2018-03-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-03-01 | 2018-03-22 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-03-01 | 2018-03-22 | 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 | 2018-03-01 | 2018-03-22 | N |
| Provide large enough exits. | Fire Safety | 2017-04-26 | 2017-06-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-04-26 | 2017-06-10 | 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 | 2017-04-26 | 2017-06-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-04-26 | 2017-06-10 | N |
| Upon the death of a resident, convey the resident?s personal funds and an accounting of those funds to the appropriate party. | Health | 2017-03-30 | 2017-05-10 | 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 | 2017-03-30 | 2017-05-10 | N |
| Provide housekeeping and maintenance services. | Health | 2017-03-30 | 2017-05-10 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-03-30 | 2017-05-10 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-30 | 2017-05-10 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2017-03-30 | 2017-05-10 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-03-30 | 2017-05-10 | N |
