Deficiency Records for The Gardens at Easton
Updated as of January 01, 2022
This is not the most recent data for The Gardens at Easton. For the most recent information, click here.
A list of the most recent deficiencies for The Gardens at Easton. 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? |
|---|---|---|---|---|
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-03-29 | 2021-04-30 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-03-29 | 2021-04-30 | 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 | 2021-03-29 | 2021-04-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-29 | 2021-04-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-03-29 | 2021-04-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-03-29 | 2021-04-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-03-12 | 2021-04-07 | 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 | 2021-03-12 | 2021-04-07 | N |
| Keep all essential equipment working safely. | Health | 2021-03-12 | 2021-04-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-03 | 2020-02-01 | N |
| 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 | 2019-12-03 | 2020-02-01 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-12-03 | 2020-02-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-03 | 2020-02-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-03 | 2020-02-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-03 | 2020-02-01 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2020-01-06 | 2020-01-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-20 | 2020-01-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-20 | 2020-01-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-12-20 | 2020-01-08 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-01-29 | 2019-04-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-01-29 | 2019-04-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-01-29 | 2019-04-18 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-01-29 | 2019-03-30 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-01-29 | 2019-03-30 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-01-29 | 2019-03-30 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-01-29 | 2019-03-30 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-01-29 | 2019-03-30 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-01-29 | 2019-03-30 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-01-29 | 2019-03-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-01-29 | 2019-03-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-01-29 | 2019-03-30 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2019-01-29 | 2019-03-30 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-01-29 | 2019-03-30 | 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 | 2019-01-29 | 2019-03-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-29 | 2019-03-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-01-29 | 2019-03-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-29 | 2019-03-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-01-29 | 2019-03-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-29 | 2019-03-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-29 | 2019-03-30 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-01-11 | 2019-02-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-01-11 | 2019-02-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-11 | 2019-02-04 | N |
