A list of the most recent deficiencies for Deupree Cottages. 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? |
|---|---|---|---|---|
| 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 |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 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 |
| 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 | 2022-11-07 | 2023-01-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-07 | 2023-01-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-07 | 2023-01-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-07 | 2023-01-05 | 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 |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-20 | 2019-10-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-08-20 | 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 | 2019-08-20 | 2019-10-10 | N |
| Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled. | Fire Safety | 2019-08-20 | 2019-10-10 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-07-12 | 2018-08-31 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-07-12 | 2018-08-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-07-11 | 2018-08-31 | 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 | 2018-07-11 | 2018-08-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-07-11 | 2018-08-31 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-07-11 | 2018-08-31 | N |
