A list of the most recent deficiencies for Canterbury Villa of Alliance. 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 timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-21 | 2022-05-28 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-04-21 | 2022-05-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-21 | 2022-05-28 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-04-21 | 2022-05-28 | N |
| 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 | 2022-04-21 | 2022-05-28 | N |
| Dispose of garbage and refuse properly. | Health | 2022-04-21 | 2022-05-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-21 | 2022-05-28 | N |
| Report COVID19 data to residents and families. | Health | 2022-04-21 | 2022-05-28 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-04-21 | 2022-05-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-11 | 2022-05-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-11 | 2022-05-28 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-04-11 | 2022-05-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-11 | 2022-05-28 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-04-11 | 2022-05-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-11 | 2022-05-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-11 | 2022-05-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-04-11 | 2022-05-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-04-11 | 2022-05-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-04-11 | 2022-05-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-04-11 | 2022-05-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-11 | 2022-05-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-11 | 2022-05-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-02-14 | 2022-03-07 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-05 | 2022-03-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-14 | 2021-06-23 | Y |
| 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 | 2021-06-14 | 2021-06-23 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-04-04 | 2019-05-17 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-04-04 | 2019-05-17 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2019-04-04 | 2019-05-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-04 | 2019-05-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-04-04 | 2019-05-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-04 | 2019-05-17 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-04-04 | 2019-05-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-04 | 2019-05-17 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-03-01 | 2018-04-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-01 | 2018-04-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-01 | 2018-04-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-03-01 | 2018-04-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-01 | 2018-04-12 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-02-28 | 2018-04-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-02-28 | 2018-04-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-02-28 | 2018-04-12 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-02-28 | 2018-04-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-02-28 | 2018-04-12 | N |
