Deficiency Records for The Ball Pavilion
Updated as of April 01, 2019
This is not the most recent data for The Ball Pavilion. For the most recent information, click here.
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? |
---|---|---|---|---|
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-01-10 | 2019-02-28 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-10 | 2019-02-28 | 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 | 2019-01-10 | 2019-02-28 | 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 | 2019-01-10 | 2019-02-28 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-10 | 2019-02-28 | N |
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2019-01-10 | 2019-02-28 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2019-01-17 | 2019-02-01 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-01-17 | 2019-02-01 | N |
Provide family notifications of emergency plan. | Fire Safety | 2019-01-17 | 2019-02-01 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-01-17 | 2019-02-01 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-17 | 2019-02-01 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-17 | 2019-02-01 | N |
Have power receptacles that are properly grounded. | Fire Safety | 2019-01-17 | 2019-02-01 | 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 | 2017-12-08 | 2018-02-06 | N |
Keep residents' personal and medical records private and confidential. | Health | 2017-12-08 | 2018-02-06 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2017-12-08 | 2018-02-06 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-08 | 2018-02-06 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2017-12-08 | 2018-02-06 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2017-12-08 | 2018-02-06 | 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 | 2017-12-08 | 2018-02-06 | N |
Provide and implement an infection prevention and control program. | Health | 2017-12-08 | 2018-02-06 | N |
Meet other general requirements. | Fire Safety | 2017-12-12 | 2018-01-31 | 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 | 2017-12-12 | 2018-01-31 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-12-12 | 2018-01-31 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2017-12-12 | 2018-01-31 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-12-12 | 2018-01-31 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-01-11 | 2017-03-03 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-01-11 | 2017-03-03 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-01-18 | 2017-03-01 | 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 | 2017-01-18 | 2017-03-01 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2017-01-18 | 2017-03-01 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-01-18 | 2017-03-01 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-01-18 | 2017-03-01 | N |
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2017-01-18 | 2017-03-01 | N |