Deficiency Records for Elm Terrace Gardens
Updated as of May 01, 2024
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Deficiency Records for Elm Terrace Gardens
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.
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 |
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