A list of the most recent deficiencies for Passavant Retirement and Healt. 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-06 | 2023-05-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-06 | 2023-05-01 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-04-13 | 2023-04-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-13 | 2023-04-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-07 | 2022-05-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-07 | 2022-05-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-12 | 2022-05-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-12 | 2022-05-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-04-12 | 2022-05-31 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-04-12 | 2022-05-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-12 | 2022-05-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-09-28 | 2020-11-15 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2020-09-28 | 2020-11-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-09-28 | 2020-11-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-09-28 | 2020-11-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-09-28 | 2020-11-15 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2020-09-28 | 2020-11-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-09-28 | 2020-11-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-09-14 | 2020-11-02 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-09-14 | 2020-11-02 | N |
