Deficiency Records for The Ball Pavilion
Updated as of June 01, 2022
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? |
---|---|---|---|---|
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 |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-11 | 2020-03-10 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-11 | 2020-03-10 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-11 | 2020-03-10 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-12-05 | 2020-01-30 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-05 | 2020-01-30 | N |
Install a two-hour-resistant firewall separation. | Fire Safety | 2019-12-11 | 2020-01-30 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-11 | 2020-01-30 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-12-11 | 2020-01-30 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-11 | 2020-01-30 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-11 | 2020-01-30 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-12-11 | 2020-01-30 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-12-11 | 2020-01-30 | N |
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2019-12-11 | 2020-01-30 | N |
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 |