Deficiency Records for English Village Skilled Nursing and Therapy
Updated as of March 01, 2024
A list of the most recent deficiencies for English Village Skilled Nursing and Therapy. 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? |
|---|---|---|---|---|
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-12-18 | 2024-01-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-07-20 | 2023-07-17 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-10-04 | 2022-11-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-10-04 | 2022-11-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-04 | 2022-11-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-04 | 2022-11-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-04 | 2022-11-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-10-04 | 2022-11-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-05 | 2021-12-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-05 | 2021-12-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-05 | 2021-12-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-05 | 2021-12-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-05 | 2021-12-15 | Y |
| 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 | 2021-11-03 | 2021-12-15 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-11-03 | 2021-12-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-11-03 | 2021-12-15 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2021-11-03 | 2021-12-15 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-11-03 | 2021-12-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-11-03 | 2021-12-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-03 | 2021-12-15 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-11-03 | 2021-12-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-11-03 | 2021-12-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-11-03 | 2021-12-15 | N |
| Have an externally vented heating system. | Fire Safety | 2021-11-03 | 2021-12-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-11-03 | 2021-12-15 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-11-03 | 2021-12-15 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-05-14 | 2019-07-01 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-05-14 | 2019-06-21 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-05-14 | 2019-06-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-05-14 | 2019-06-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-05-14 | 2019-06-21 | N |
