Deficiency Records for The Ball Pavilion
Updated as of February 01, 2023
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? |
|---|---|---|---|---|
| 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 |
| 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 |
