A list of the most recent deficiencies for Pruitthealth-Carolina Point. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2023-08-08 | 2023-11-05 | 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 | 2023-08-08 | 2023-11-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-08 | 2023-11-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-08 | 2023-11-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-07-13 | 2023-08-08 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-07-13 | 2023-08-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-13 | 2023-08-08 | Y |
| 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 | 2023-07-13 | 2023-08-08 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-07-13 | 2023-08-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-13 | 2022-09-21 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-07-13 | 2022-09-21 | Y |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2022-08-02 | 2022-09-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-02 | 2022-09-16 | 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 | 2022-08-02 | 2022-09-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-02 | 2022-09-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-02 | 2022-09-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-02 | 2022-09-16 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-08-02 | 2022-09-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-02 | 2022-09-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-13 | 2022-09-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-13 | 2022-09-07 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-13 | 2022-09-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-13 | 2022-09-07 | 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 | 2022-07-13 | 2022-09-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-07-13 | 2022-09-07 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-07-13 | 2022-09-07 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-07-13 | 2022-09-07 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-07-13 | 2022-09-07 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-07-13 | 2022-09-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-13 | 2022-09-07 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-07-13 | 2022-09-07 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2021-05-18 | 2021-07-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-04-29 | 2021-06-07 | 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 | 2021-04-29 | 2021-06-07 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2021-04-29 | 2021-06-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-29 | 2021-06-07 | N |
| Keep all essential equipment working safely. | Health | 2021-04-29 | 2021-06-07 | N |
