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Deficiency Records for The Pavilion at Canal Fulton For Nursing and Rehab
View the most recent health deficiencies and inspection results for The Pavilion at Canal Fulton For Nursing and Rehab. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Pavilion at Canal Fulton For Nursing and Rehab. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-18 | 2025-08-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-06-18 | 2025-08-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-06-18 | 2025-08-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-06-18 | 2025-08-19 | N |
| Assess the resident when there is a significant change in condition | Health | 2025-06-18 | 2025-08-19 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-06-18 | 2025-08-19 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-06-18 | 2025-08-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-06-18 | 2025-08-19 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-06-18 | 2025-08-19 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-06-18 | 2025-08-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-06-18 | 2025-08-19 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2025-06-18 | 2025-08-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-06-18 | 2025-08-14 | N |
| Have exits that are accessible at all times. | Fire Safety | 2025-06-18 | 2025-08-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-06-18 | 2025-08-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-06-18 | 2025-08-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-06-18 | 2025-08-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-06-18 | 2025-08-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-06-18 | 2025-08-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-06-18 | 2025-08-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-06-18 | 2025-08-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-06-18 | 2025-08-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-06-18 | 2025-08-14 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-07-31 | 2024-03-19 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-07 | 2023-01-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-07 | 2023-01-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-12-07 | 2023-01-11 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-12-07 | 2023-01-11 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-12-07 | 2023-01-11 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-12-07 | 2023-01-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-12-07 | 2023-01-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-07 | 2023-01-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-07 | 2023-01-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-07 | 2023-01-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-07 | 2023-01-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-07 | 2023-01-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-18 | 2020-02-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-18 | 2020-02-03 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-12-18 | 2020-02-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-18 | 2020-02-03 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-12-18 | 2020-02-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-18 | 2020-02-03 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-12-18 | 2020-02-03 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-12-18 | 2020-02-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-12-18 | 2020-02-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-12-18 | 2020-02-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-12-18 | 2020-02-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-18 | 2020-02-03 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-12-18 | 2020-02-03 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-12-18 | 2020-02-03 | 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 | 2019-12-18 | 2020-02-03 | N |