A list of the most recent deficiencies for Broadway Living Center. 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? |
|---|---|---|---|---|
| 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 | 2023-01-19 | 2023-02-24 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2023-01-19 | 2023-02-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-19 | 2023-02-24 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-01-19 | 2023-02-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-19 | 2023-02-24 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-01-19 | 2023-02-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-01 | 2023-02-24 | 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 | 2023-02-01 | 2023-02-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-01 | 2023-02-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-02-01 | 2023-02-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-03-05 | 2020-04-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-03-05 | 2020-04-06 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2020-03-05 | 2020-04-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-03-05 | 2020-04-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-05 | 2020-04-06 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-03-04 | 2020-04-06 | N |
| Establish emergency prep training and testing. | Fire Safety | 2020-03-04 | 2020-04-06 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-03-04 | 2020-04-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-04 | 2020-04-06 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2020-03-04 | 2020-04-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-03-04 | 2020-04-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-03-04 | 2020-04-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-04 | 2020-04-06 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2020-03-05 | 2020-03-19 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-01-07 | 2019-02-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-01-07 | 2019-02-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-01-07 | 2019-02-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-01-07 | 2019-02-08 | N |
| Have an externally vented heating system. | Fire Safety | 2019-01-07 | 2019-02-08 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-01-07 | 2019-02-06 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2019-01-07 | 2019-02-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-01-08 | 2019-01-18 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-01-08 | 2019-01-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-01-08 | 2019-01-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-01-07 | 2019-01-18 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-01-07 | 2019-01-18 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-01-08 | 2019-01-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-07 | 2019-01-09 | N |
