Deficiency Records for Passavant Retirement and Healt

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Updated as of May 01, 2024

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Deficiency Records for Passavant Retirement and Healt

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.

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

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