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Deficiency Records for Deupree Cottages

View the most recent health deficiencies and inspection results for Deupree Cottages. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Deupree Cottages. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2025-07-17 2025-09-05 N
Provide and implement an infection prevention and control program. Health 2025-07-17 2025-09-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-07-17 2025-09-05 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2025-07-17 2025-09-05 N
Have simulated fire drills held at unexpected times. Fire Safety 2025-07-17 2025-09-05 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 2025-07-17 2025-09-05 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-07-17 2025-09-05 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2025-07-17 2025-09-05 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 2022-11-09 2023-01-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-11-09 2023-01-05 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-11-09 2023-01-05 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2022-11-09 2023-01-05 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-11-09 2023-01-05 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-11-09 2023-01-05 N
Provide properly protected cooking facilities. Fire Safety 2022-11-09 2023-01-05 N
Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled. Fire Safety 2019-08-21 2019-10-10 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2019-08-21 2019-10-10 N
Provide a written emergency evacuation plan. Fire Safety 2019-08-21 2019-10-10 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-08-21 2019-10-10 N
Ensure each resident receives an accurate assessment. Health 2019-08-21 2019-10-10 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2019-08-21 2019-10-10 N
Post nurse staffing information every day. Health 2019-08-21 2019-10-10 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 2019-08-21 2019-10-10 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 2019-08-21 2019-10-10 N
Provide routine and 24-hour emergency dental care for each resident. Health 2019-08-21 2019-10-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-08-21 2019-10-10 N

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