Deficiency Records for Carlin Springs Health and Rehabilitation
Updated as of August 01, 2020
This is not the most recent data for Carlin Springs Health and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Carlin Springs Health and Rehabilitation. 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? |
---|---|---|---|---|
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 | 2020-01-08 | 2020-04-10 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-08 | 2020-04-10 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-08 | 2020-04-10 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-08 | 2020-03-12 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2020-01-08 | 2020-03-12 | N |
Be properly staffed | Fire Safety | 2020-01-08 | 2020-03-12 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-01-08 | 2020-03-12 | N |
Meet other general requirements that are deficient. | Fire Safety | 2020-01-08 | 2020-03-12 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-09-11 | 2019-10-25 | Y |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-09-11 | 2019-10-25 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-11 | 2019-10-25 | Y |
Provide and implement an infection prevention and control program. | Health | 2019-09-11 | 2019-10-25 | Y |
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 | 2019-02-07 | 2019-04-16 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-07 | 2019-04-16 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-07 | 2019-04-16 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-02-07 | 2019-04-16 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-02-07 | 2019-04-16 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-07 | 2019-03-23 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-02-07 | 2019-03-23 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2019-02-07 | 2019-03-23 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-02-07 | 2019-03-23 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-07 | 2019-03-23 | N |
Post nurse staffing information every day. | Health | 2019-02-07 | 2019-03-23 | 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 | 2019-02-07 | 2019-03-23 | N |
Provide or obtain dental services for each resident. | Health | 2019-02-07 | 2019-03-23 | N |
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2019-02-07 | 2019-03-23 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-07 | 2019-03-23 | N |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-02-07 | 2019-03-23 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-02-07 | 2019-03-23 | N |
Provide and implement an infection prevention and control program. | Health | 2019-02-07 | 2019-03-23 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-07 | 2019-03-23 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-02-07 | 2019-03-23 | Y |
Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2018-01-09 | 2018-02-07 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-01-09 | 2018-02-07 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-01-09 | 2018-02-07 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-01-09 | 2018-02-07 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-01-09 | 2018-02-07 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-04 | 2017-11-07 | N |
Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-10-04 | 2017-11-07 | Y |
Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-10-07 | 2016-12-19 | N |
Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-10-07 | 2016-12-19 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-10-07 | 2016-12-19 | N |
Corridor and hallway doors that block smoke. | Fire Safety | 2016-10-07 | 2016-11-29 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2016-09-22 | 2016-11-04 | N |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-09-22 | 2016-11-04 | N |
Properly located and lighted "Exit" signs. | Fire Safety | 2016-10-07 | 2016-10-29 | N |