Deficiency Records for Gardens at Celina
Updated as of January 01, 2021
This is not the most recent data for Gardens at Celina. For the most recent information, click here.
A list of the most recent deficiencies for Gardens at Celina. 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? |
|---|---|---|---|---|
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-10-29 | 2020-11-06 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-21 | 2019-12-17 | N |
| Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2019-11-21 | 2019-12-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-21 | 2019-12-17 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-11-21 | 2019-12-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-21 | 2019-12-17 | 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 | 2019-11-21 | 2019-12-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-21 | 2019-12-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-21 | 2019-12-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-21 | 2019-12-17 | 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 | 2018-10-11 | 2018-11-05 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2018-10-11 | 2018-11-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-11 | 2018-11-05 | N |
