CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for The Commons
View the most recent health deficiencies and inspection results for The Commons. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Commons. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-10-31 | 2024-12-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-10-31 | 2024-12-13 | 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 | 2024-10-31 | 2024-12-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-10-31 | 2024-11-19 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-10-31 | 2024-11-19 | 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 | 2024-10-31 | 2024-11-19 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-15 | 2023-12-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-15 | 2023-12-26 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-09-15 | 2023-11-03 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-09-15 | 2023-11-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-15 | 2023-11-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-15 | 2023-11-03 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-09-15 | 2023-11-03 | 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 | 2023-09-15 | 2023-11-03 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-09-15 | 2023-11-03 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-09-15 | 2023-11-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-15 | 2023-11-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-24 | 2022-09-27 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-08-24 | 2022-09-27 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2022-08-24 | 2022-09-27 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-08-24 | 2022-09-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-24 | 2022-09-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-24 | 2022-09-27 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-08-24 | 2022-09-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-24 | 2022-09-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-24 | 2022-09-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-24 | 2022-09-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-24 | 2022-09-27 | 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 | 2022-08-24 | 2022-09-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-24 | 2022-09-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-24 | 2022-09-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-24 | 2022-09-27 | N |