A list of the most recent deficiencies for Reformed Presbyterian Home. 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? |
---|---|---|---|---|
Use approved construction type or materials. | Fire Safety | 2023-09-28 | 2023-11-20 | 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 | 2023-09-28 | 2023-11-20 | N |
Provide properly protected cooking facilities. | Fire Safety | 2023-09-28 | 2023-11-20 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-28 | 2023-11-20 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-28 | 2023-11-20 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-28 | 2023-11-20 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-09-28 | 2023-11-20 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-28 | 2023-11-20 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-09-28 | 2023-11-20 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-28 | 2023-11-20 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-29 | 2023-11-15 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-09-29 | 2023-11-15 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-29 | 2023-11-15 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-29 | 2023-11-15 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2023-09-29 | 2023-11-15 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2023-09-29 | 2023-11-15 | N |
Provide and implement an infection prevention and control program. | Health | 2023-09-29 | 2023-11-15 | 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 | 2023-04-28 | 2023-05-30 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-28 | 2023-05-30 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-28 | 2023-05-30 | Y |
Use approved construction type or materials. | Fire Safety | 2022-11-28 | 2023-01-20 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-28 | 2023-01-20 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2022-11-28 | 2023-01-20 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-28 | 2023-01-20 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-11-28 | 2023-01-20 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-23 | 2023-01-02 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-23 | 2023-01-02 | N |
Use approved construction type or materials. | Fire Safety | 2021-11-29 | 2022-01-15 | 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 | 2021-11-29 | 2022-01-15 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2021-11-29 | 2022-01-15 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-11-29 | 2022-01-15 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-11-29 | 2022-01-15 | N |
Have power receptacles that are properly grounded. | Fire Safety | 2021-11-29 | 2022-01-15 | N |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-11-19 | 2021-12-20 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-11-19 | 2021-12-20 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-19 | 2021-12-20 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-27 | 2021-11-10 | Y |