Deficiency Records for Pheasant Ridge Nursing and Rehab Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Pheasant Ridge Nursing and Rehab 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2022-09-19 | 2022-12-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-09-19 | 2022-12-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-19 | 2022-12-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-19 | 2022-12-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-19 | 2022-12-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-03 | 2022-09-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-03 | 2022-09-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-08-03 | 2022-09-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-03 | 2022-09-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-26 | 2021-07-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-04-26 | 2021-07-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-26 | 2021-07-29 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-04-26 | 2021-06-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-04-26 | 2021-06-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-26 | 2021-06-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-04-26 | 2021-06-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-04-26 | 2021-06-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-08 | 2021-04-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-01-28 | 2020-09-16 | 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 | 2020-01-28 | 2020-09-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-01-28 | 2020-09-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-28 | 2020-09-16 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2020-01-28 | 2020-09-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-01-28 | 2020-09-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-28 | 2020-09-16 | 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 | 2020-01-16 | 2020-02-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-01-16 | 2020-02-21 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2020-01-16 | 2020-02-21 | 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 | 2020-01-16 | 2020-02-21 | N |
| Keep complete, dated laboratory records in the resident's record. | Health | 2020-01-16 | 2020-02-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-08 | 2020-02-14 | Y |
