Deficiency Records for Benedictine Living Center of Garrison
Updated as of March 01, 2024
A list of the most recent deficiencies for Benedictine Living Center of Garrison. 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? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-18 | 2023-10-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-18 | 2023-10-15 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-09-07 | 2023-10-12 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-07 | 2023-10-12 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-07 | 2023-10-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-07 | 2023-10-12 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-09-07 | 2023-10-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-07 | 2023-10-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-03 | 2023-04-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-04-03 | 2023-04-21 | Y |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2022-08-23 | 2022-10-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-23 | 2022-10-12 | 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 | 2022-08-23 | 2022-10-12 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-08-23 | 2022-10-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-23 | 2022-10-12 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-08-23 | 2022-10-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-07-27 | 2022-08-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-27 | 2022-08-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-27 | 2022-08-26 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-07-27 | 2022-08-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-27 | 2022-08-26 | N |
| 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 | 2022-07-27 | 2022-08-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-27 | 2022-08-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-27 | 2022-08-26 | 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 | 2021-04-15 | 2021-06-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-04-15 | 2021-05-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-15 | 2021-05-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-15 | 2021-05-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-15 | 2021-05-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-15 | 2021-05-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-02-17 | 2021-03-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-02-17 | 2021-03-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-02-17 | 2021-03-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-02-17 | 2021-03-25 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-02-17 | 2021-03-25 | N |
