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Deficiency Records for Senior Suites Healthcare
View the most recent health deficiencies and inspection results for Senior Suites Healthcare. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Senior Suites Healthcare. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2026-02-12 | 2026-03-23 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2026-02-12 | 2026-03-23 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-02-12 | 2026-03-23 | N |
| Respond appropriately to all alleged violations. | Health | 2026-02-12 | 2026-03-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-02-12 | 2026-03-23 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2026-02-12 | 2026-03-23 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2026-02-12 | 2026-03-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-02-12 | 2026-03-23 | 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 | 2026-02-12 | 2026-03-23 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2026-02-12 | 2026-03-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-02-12 | 2026-03-23 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2026-02-12 | 2026-03-23 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2026-02-12 | 2026-03-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-02-12 | 2026-03-23 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2026-02-12 | 2026-03-23 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-06-04 | 2025-07-01 | Y |
| 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 | 2025-06-04 | 2025-07-01 | 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 | 2024-11-07 | 2025-02-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-11-07 | 2024-12-06 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-11-07 | 2024-12-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-11-07 | 2024-12-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-07 | 2024-12-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-07 | 2024-12-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-11-07 | 2024-12-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-11-07 | 2024-12-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-11-07 | 2024-12-06 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-11-07 | 2024-12-06 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-07-11 | 2024-09-03 | Y |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2024-07-11 | 2024-07-11 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-09-28 | 2024-04-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-28 | 2024-04-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-28 | 2024-04-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-28 | 2024-04-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-28 | 2024-04-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-09-28 | 2024-04-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-09-28 | 2024-04-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-28 | 2024-03-31 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-02-28 | 2024-02-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-28 | 2023-11-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-28 | 2023-11-20 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-09-28 | 2023-11-20 | Y |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2023-09-28 | 2023-11-20 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-09-28 | 2023-11-20 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-09-28 | 2023-11-20 | 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 | 2022-02-11 | 2022-04-26 | 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 | 2022-02-11 | 2022-04-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-11 | 2022-04-26 | N |