A list of the most recent deficiencies for Holiday Heights Healthcare. 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? |
---|---|---|---|---|
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-09-13 | 2023-10-18 | 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 | 2023-09-13 | 2023-10-18 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-09-13 | 2023-10-18 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2023-09-13 | 2023-10-18 | 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 | 2023-09-13 | 2023-10-18 | N |
Provide properly protected cooking facilities. | Fire Safety | 2023-09-13 | 2023-10-18 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-13 | 2023-10-18 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-13 | 2023-10-18 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-09-13 | 2023-10-18 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-09-13 | 2023-10-18 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-13 | 2023-10-18 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-13 | 2023-10-18 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-06-29 | 2023-08-09 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-06-29 | 2023-08-09 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-29 | 2023-08-09 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-01-04 | 2022-03-21 | 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 | 2022-01-04 | 2022-03-21 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-01-04 | 2022-03-21 | N |
Have exits that are accessible at all times. | Fire Safety | 2022-01-04 | 2022-03-17 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-01-04 | 2022-03-17 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-01-04 | 2022-03-17 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-01-04 | 2022-03-17 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-01-04 | 2022-03-17 | N |
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-01-11 | 2022-02-16 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-11 | 2022-02-16 | N |
Keep residents' personal and medical records private and confidential. | Health | 2022-01-11 | 2022-02-16 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-11 | 2022-02-16 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-01-30 | 2020-02-29 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2020-01-28 | 2020-02-29 | N |
Establish emergency prep training and testing. | Fire Safety | 2020-01-28 | 2020-02-29 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-01-28 | 2020-02-29 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2020-01-28 | 2020-02-29 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-01-28 | 2020-02-29 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-28 | 2020-02-29 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-01-28 | 2020-02-29 | N |