A list of the most recent deficiencies for Cleveland Pines. 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? |
|---|---|---|---|---|
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2023-04-19 | 2023-05-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-23 | 2023-04-30 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-23 | 2023-04-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-23 | 2023-04-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-10 | 2021-07-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-10 | 2021-07-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-10 | 2021-07-16 | 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 | 2019-03-26 | 2019-05-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-26 | 2019-05-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-03-26 | 2019-05-03 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-03-01 | 2019-04-22 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-03-01 | 2019-04-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-01 | 2019-04-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-01 | 2019-04-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-01 | 2019-04-22 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2019-03-01 | 2019-04-22 | N |
