A list of the most recent deficiencies for Peak Resources-Wilmington, Inc. 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 that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-02-15 | 2024-03-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-15 | 2024-03-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-15 | 2024-03-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-15 | 2024-03-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-29 | 2024-03-01 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-02-29 | 2024-03-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-12 | 2024-02-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-12 | 2024-02-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-01-12 | 2024-02-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-12 | 2024-02-29 | 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 | 2024-01-12 | 2024-02-29 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-01-12 | 2024-02-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-12 | 2024-02-29 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-12 | 2024-02-29 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-01-12 | 2024-02-29 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-01-12 | 2024-02-29 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-01-12 | 2024-02-29 | Y |
| 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 | 2024-01-12 | 2024-02-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-12 | 2024-02-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-09-14 | 2022-11-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-14 | 2022-11-02 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-09-14 | 2022-11-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-15 | 2021-05-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-15 | 2021-05-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-15 | 2021-05-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-15 | 2021-05-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-04-15 | 2021-05-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-15 | 2021-05-10 | Y |
