A list of the most recent deficiencies for Addison Healthcare Center. 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-01-04 | 2024-01-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-04 | 2024-01-11 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-15 | 2022-12-02 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2022-11-15 | 2022-12-02 | 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 | 2022-11-15 | 2022-12-02 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-11-15 | 2022-12-02 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-11-07 | 2022-12-02 | 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 | 2022-11-07 | 2022-12-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-07 | 2022-12-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-07 | 2022-12-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-07 | 2022-12-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-11-07 | 2022-12-02 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-04-29 | 2021-05-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-29 | 2021-05-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-12-28 | 2020-01-27 | 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 | 2019-12-28 | 2020-01-27 | 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 | 2019-12-28 | 2020-01-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-28 | 2020-01-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-28 | 2020-01-27 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-12-27 | 2020-01-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-27 | 2020-01-27 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2019-12-27 | 2020-01-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-27 | 2020-01-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-27 | 2020-01-27 | N |
