A list of the most recent deficiencies for Haven Place. 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 | 2023-11-09 | 2024-01-04 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-11-09 | 2024-01-04 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-11-09 | 2024-01-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-09 | 2024-01-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-09 | 2024-01-04 | N |
| 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 | 2023-11-09 | 2024-01-04 | 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 | 2023-11-27 | 2023-12-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-27 | 2023-12-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-27 | 2023-12-22 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-10-04 | 2023-10-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-18 | 2023-01-02 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-11-18 | 2023-01-02 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-11-18 | 2023-01-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-11-18 | 2023-01-02 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2022-11-18 | 2023-01-02 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-11-18 | 2023-01-02 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2022-11-18 | 2023-01-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-07 | 2022-12-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-07 | 2022-12-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-07 | 2022-12-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-11-07 | 2022-12-30 | N |
| Meet requirements for the installation and maintenance of medical gas and medical vacuum systems. | Fire Safety | 2022-11-07 | 2022-12-30 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-11-07 | 2022-12-30 | N |
| Use approved construction type or materials. | Fire Safety | 2021-12-20 | 2022-02-05 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-12-20 | 2022-02-05 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-12-20 | 2022-02-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-20 | 2022-02-05 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-12-03 | 2022-01-31 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-12-03 | 2022-01-31 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-12-03 | 2022-01-31 | N |
| Respond appropriately to all alleged violations. | Health | 2021-12-03 | 2022-01-31 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-12-03 | 2022-01-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-12-03 | 2022-01-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-03 | 2022-01-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-03 | 2022-01-31 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-03 | 2022-01-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-03 | 2022-01-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-03 | 2022-01-31 | N |
