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Deficiency Records for The Citadel Mooresville
View the most recent health deficiencies and inspection results for The Citadel Mooresville. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Citadel Mooresville. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2025-05-15 | 2025-06-26 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-05-15 | 2025-05-17 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-05-15 | 2025-05-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-05-15 | 2025-05-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-15 | 2025-05-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-15 | 2025-05-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-08 | 2025-05-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-04-08 | 2025-05-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-04-08 | 2025-05-15 | Y |
| 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 | 2024-02-01 | 2024-03-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-01 | 2024-03-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-01 | 2024-03-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-02-01 | 2024-03-29 | 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 | 2024-02-01 | 2024-03-29 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-02-01 | 2024-03-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-01 | 2024-03-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-02-01 | 2024-03-05 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-02-01 | 2024-03-05 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-02-01 | 2024-03-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-01 | 2024-03-05 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-02-01 | 2024-03-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-01 | 2024-03-05 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-02-01 | 2024-03-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-02-01 | 2024-03-05 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-02-01 | 2024-03-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-01 | 2024-03-05 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-02-01 | 2024-03-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-01 | 2024-03-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-01 | 2024-03-05 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-02-01 | 2024-03-05 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-02-01 | 2024-03-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-07-15 | 2022-11-07 | N |
| Meet other general requirements. | Fire Safety | 2022-07-15 | 2022-11-07 | N |
| Use approved construction type or materials. | Fire Safety | 2022-07-15 | 2022-11-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-07-15 | 2022-11-07 | 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 | 2022-07-15 | 2022-11-07 | 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 | 2022-07-15 | 2022-11-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-15 | 2022-11-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-07-15 | 2022-11-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-15 | 2022-11-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-15 | 2022-11-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-07-15 | 2022-11-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-07-15 | 2022-11-07 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-07-15 | 2022-11-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-15 | 2022-11-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-15 | 2022-11-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-15 | 2022-08-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-15 | 2022-08-12 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-07-15 | 2022-08-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-15 | 2022-08-12 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-07-15 | 2022-08-12 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-07-15 | 2022-08-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-15 | 2022-08-12 | N |
| Dispose of garbage and refuse properly. | Health | 2022-07-15 | 2022-08-12 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-07-15 | 2022-08-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-15 | 2022-08-12 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2022-07-15 | 2022-08-12 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-07-15 | 2022-08-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-15 | 2022-08-12 | 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 | 2022-07-15 | 2022-08-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-07-15 | 2022-08-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-15 | 2022-08-12 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-07-15 | 2022-08-12 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-07-15 | 2022-08-12 | 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 | 2022-07-15 | 2022-08-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-07-15 | 2022-08-12 | 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 | 2022-07-15 | 2022-08-12 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-07-15 | 2022-08-12 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-07-15 | 2022-08-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-15 | 2022-08-12 | N |