A list of the most recent deficiencies for The Caring Place. 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2024-02-08 | 2024-03-05 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-09-29 | 2023-11-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-29 | 2023-11-13 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-09-29 | 2023-11-13 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-09-29 | 2023-11-13 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-09-29 | 2023-11-13 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-09-29 | 2023-11-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-29 | 2023-11-13 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-09-29 | 2023-11-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-09-21 | 2023-11-10 | N |
| Meet other general requirements. | Fire Safety | 2023-09-21 | 2023-10-31 | 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 | 2023-09-21 | 2023-10-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-21 | 2023-10-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-21 | 2023-10-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-21 | 2023-10-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-21 | 2023-10-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-09-21 | 2023-10-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-21 | 2023-10-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-18 | 2022-11-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-18 | 2022-11-30 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-10-18 | 2022-11-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-18 | 2022-11-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-18 | 2022-11-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-14 | 2022-11-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-14 | 2022-11-01 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-10-14 | 2022-11-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-11-12 | 2022-01-10 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-11-12 | 2022-01-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-12 | 2022-01-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-12 | 2022-01-10 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-11-12 | 2022-01-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-12 | 2022-01-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-12 | 2022-01-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-11-12 | 2022-01-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-12 | 2022-01-10 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-11-12 | 2022-01-10 | Y |
| Meet other general requirements. | Fire Safety | 2021-11-18 | 2022-01-10 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2021-11-18 | 2022-01-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-11-18 | 2022-01-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-18 | 2022-01-10 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2021-11-18 | 2022-01-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-18 | 2022-01-10 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-06-07 | 2021-07-13 | Y |
