Deficiency Records for Holladay Healthcare Center
Updated as of September 01, 2019
This is not the most recent data for Holladay Healthcare Center. For the most recent information, click here.
A list of the most recent deficiencies for Holladay 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-09-13 | 2018-11-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-13 | 2018-11-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-13 | 2018-11-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-13 | 2018-11-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-13 | 2018-11-13 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2018-09-13 | 2018-11-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-09-13 | 2018-11-01 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2018-09-13 | 2018-09-26 | 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 | 2018-09-13 | 2018-09-14 | 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 | 2018-09-13 | 2018-09-13 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-23 | 2017-09-15 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-06-07 | 2017-08-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-06-07 | 2017-08-06 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2017-06-07 | 2017-08-06 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-06-07 | 2017-08-06 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-06-07 | 2017-08-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-06-07 | 2017-07-10 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-06-08 | 2017-07-07 | N |
| Provide housekeeping and maintenance services. | Health | 2017-06-08 | 2017-07-07 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-06-08 | 2017-07-07 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-08 | 2017-07-07 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-06-08 | 2017-07-07 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-08 | 2017-07-07 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-08 | 2017-07-07 | N |
| Keep clinical record information safe. | Health | 2017-06-08 | 2017-07-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-06-07 | 2017-06-29 | N |
| Ensure that gas containers are correctly designed and tested, and in locations that are labeled. | Fire Safety | 2017-06-07 | 2017-06-12 | N |
| Hire sufficient dietary support personnel. | Health | 2016-02-18 | 2016-04-11 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-02-18 | 2016-04-11 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-18 | 2016-04-11 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-02-17 | 2016-03-09 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2016-02-17 | 2016-03-09 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-02-17 | 2016-03-09 | N |
| An elevator that firefighters can control in the event of a fire. | Fire Safety | 2016-02-17 | 2016-03-09 | N |
