Deficiency Records for The Ball Pavilion
Updated as of May 01, 2024
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Deficiency Records for The Ball Pavilion
A list of the most recent deficiencies for The Ball Pavilion. 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 The Ball Pavilion. 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? |
---|---|---|---|---|
Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-05-23 | 2023-07-14 | N |
Provide family notifications of emergency plan. | Fire Safety | 2023-05-23 | 2023-07-14 | 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 | 2023-05-23 | 2023-07-14 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-23 | 2023-07-14 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-23 | 2023-07-14 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-23 | 2023-07-14 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-05-23 | 2023-07-14 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-23 | 2023-07-14 | N |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-05-12 | 2023-07-11 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-12 | 2023-07-11 | 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 | 2023-05-12 | 2023-07-11 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-05-12 | 2023-07-11 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-12 | 2023-07-11 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-12 | 2023-07-11 | N |
Provide and implement an infection prevention and control program. | Health | 2023-05-12 | 2023-07-11 | N |
Ensure each resident receives an accurate assessment. | Health | 2022-06-16 | 2022-08-08 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-16 | 2022-08-08 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-16 | 2022-08-08 | N |
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-06-16 | 2022-08-08 | N |
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-06-16 | 2022-08-08 | N |
Meet other general requirements. | Fire Safety | 2022-06-14 | 2022-06-23 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-06-14 | 2022-06-23 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-14 | 2022-06-23 | N |
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 | 2021-08-20 | 2021-10-15 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-20 | 2021-10-15 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-20 | 2021-10-15 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-20 | 2021-10-15 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-20 | 2021-10-15 | N |
Provide or obtain dental services for each resident. | Health | 2021-08-20 | 2021-10-15 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-20 | 2021-10-15 | N |
Provide and implement an infection prevention and control program. | Health | 2021-08-20 | 2021-10-15 | N |
Meet other general requirements. | Fire Safety | 2021-08-24 | 2021-09-30 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-24 | 2021-09-30 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-24 | 2021-09-30 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-08-24 | 2021-09-30 | N |
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