Deficiency Records for Convalarium at Indian Run
Updated as of May 01, 2018
This is not the most recent data for Convalarium at Indian Run. For the most recent information, click here.
A list of the most recent deficiencies for Convalarium at Indian Run. 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 exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2017-10-23 | 2017-11-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-23 | 2017-11-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-10-23 | 2017-11-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-10-23 | 2017-11-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-10-23 | 2017-11-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-10-23 | 2017-11-30 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2017-10-23 | 2017-11-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-10-23 | 2017-11-30 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-10-26 | 2017-11-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-26 | 2017-11-30 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-10-26 | 2017-11-30 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-10-26 | 2017-11-30 | Y |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-10-26 | 2017-11-30 | Y |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-10-26 | 2017-11-30 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-26 | 2017-11-30 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-26 | 2017-11-30 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-10-26 | 2017-11-30 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-10-26 | 2017-11-30 | Y |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-10-26 | 2017-11-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-26 | 2017-11-30 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-10-26 | 2017-11-30 | Y |
| Post nurse staffing information/data on a daily basis. | Health | 2017-10-26 | 2017-11-30 | Y |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-10-26 | 2017-11-30 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-10-26 | 2017-11-30 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-10-26 | 2017-11-30 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-10-26 | 2017-11-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-02-09 | 2016-12-08 | Y |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-08-04 | 2016-09-09 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-08-04 | 2016-09-09 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-08-04 | 2016-09-09 | N |
| Try to resolve each resident's complaints quickly. | Health | 2016-08-04 | 2016-09-09 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-08-04 | 2016-09-09 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-08-04 | 2016-09-09 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-08-04 | 2016-09-09 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-08-04 | 2016-09-09 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-08-04 | 2016-09-09 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-08-04 | 2016-09-09 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2016-08-04 | 2016-09-09 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-08-04 | 2016-09-09 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-08-04 | 2016-09-09 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2015-12-28 | 2015-11-24 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-07-17 | 2015-07-30 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-07-17 | 2015-07-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-07-14 | 2015-07-30 | Y |
| Corridors that are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2015-05-26 | 2015-06-26 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-05-26 | 2015-06-26 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-05-26 | 2015-06-26 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-05-26 | 2015-06-26 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-05-21 | 2015-06-26 | N |
| Keep all essential equipment working safely. | Health | 2015-05-21 | 2015-06-26 | N |
