A list of the most recent deficiencies for South Mountain Restoration Cen. 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? |
|---|---|---|---|---|
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-12-18 | 2024-02-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-12-18 | 2024-02-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-12-18 | 2024-02-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-18 | 2024-02-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-07 | 2024-01-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-07 | 2024-01-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-07 | 2024-01-30 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-12-07 | 2024-01-30 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-12-29 | 2023-02-17 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2022-12-29 | 2023-02-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-29 | 2023-02-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-29 | 2023-02-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-29 | 2023-02-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-14 | 2023-01-27 | 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 | 2022-12-14 | 2023-01-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-14 | 2023-01-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-20 | 2022-02-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-20 | 2022-02-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-20 | 2022-02-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-20 | 2022-02-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-20 | 2022-02-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-12-09 | 2022-01-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-12-09 | 2022-01-27 | N |
