A list of the most recent deficiencies for Pecan Creek Healthcare Center. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-17 | 2023-06-20 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-05-17 | 2023-06-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-17 | 2023-06-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-05-17 | 2023-06-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-05-17 | 2023-06-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-30 | 2023-03-02 | 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 | 2023-01-30 | 2023-03-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-19 | 2023-01-16 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-05-11 | 2022-06-20 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-09 | 2022-03-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-09 | 2022-03-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-09 | 2022-03-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-09 | 2022-03-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-10 | 2021-11-29 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-11-10 | 2021-11-29 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-11-10 | 2021-11-16 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-11-10 | 2021-11-16 | 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 | 2021-11-10 | 2021-11-16 | N |
| Provide activities to meet all resident's needs. | Health | 2021-11-10 | 2021-11-16 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-11-10 | 2021-11-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-11-10 | 2021-11-12 | N |
| Keep all essential equipment working safely. | Health | 2021-11-10 | 2021-11-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-20 | 2019-12-20 | 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 | 2019-11-20 | 2019-12-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-20 | 2019-12-20 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-11-20 | 2019-12-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-20 | 2019-12-20 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-11-20 | 2019-12-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-11-22 | Not Fixed | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-11-22 | Not Fixed | N |
