A list of the most recent deficiencies for Ann's Choice. 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 properly protected cooking facilities. | Fire Safety | 2024-01-02 | 2024-02-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-02 | 2024-02-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-02 | 2024-02-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-02 | 2024-02-13 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2023-12-15 | 2024-01-29 | 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 | 2023-12-15 | 2024-01-29 | 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 | 2023-12-15 | 2024-01-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-15 | 2024-01-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-15 | 2024-01-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-15 | 2024-01-29 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-03-02 | 2023-05-01 | N |
| Use approved construction type or materials. | Fire Safety | 2023-03-02 | 2023-05-01 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-03-02 | 2023-05-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-02 | 2023-05-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-02 | 2023-05-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-02 | 2023-05-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-02 | 2023-05-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-02 | 2023-05-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-23 | 2022-06-16 | 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 | 2022-03-23 | 2022-05-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-03-23 | 2022-05-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-23 | 2022-05-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-23 | 2022-05-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-23 | 2022-05-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-23 | 2022-05-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-23 | 2022-05-22 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-03-23 | 2022-05-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-23 | 2022-05-22 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-03-07 | 2022-05-06 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-03-07 | 2022-05-06 | N |
| Dispose of garbage and refuse properly. | Health | 2022-03-07 | 2022-05-06 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-07 | 2022-05-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-07 | 2022-05-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-20 | 2021-08-30 | Y |
