A list of the most recent deficiencies for Elm Terrace Gardens. 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? |
|---|---|---|---|---|
| Meet other general requirements. | Fire Safety | 2023-06-06 | 2023-07-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-06 | 2023-07-11 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-06-06 | 2023-07-11 | 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 | 2023-06-06 | 2023-07-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-06 | 2023-07-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-06 | 2023-07-11 | 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 | 2023-06-01 | 2023-07-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-06-01 | 2023-07-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-01 | 2023-07-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-01 | 2023-07-05 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-06-01 | 2023-07-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-23 | 2022-07-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-23 | 2022-07-29 | N |
| Post nurse staffing information every day. | Health | 2022-06-23 | 2022-07-29 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-06-23 | 2022-07-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-23 | 2022-07-25 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-06-23 | 2022-07-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-23 | 2022-07-25 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2021-07-07 | 2021-08-10 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-07-07 | 2021-08-10 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-07-07 | 2021-08-10 | 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 | 2021-07-07 | 2021-08-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-07 | 2021-08-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-07 | 2021-08-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-07 | 2021-08-10 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-07-07 | 2021-08-10 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2021-07-07 | 2021-08-10 | 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 | 2021-07-01 | 2021-08-03 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-07-01 | 2021-08-03 | N |
