A list of the most recent deficiencies for Harbor's Edge. 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-08-11 | 2022-09-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-11 | 2022-09-16 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-08-11 | 2022-09-16 | 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 | 2019-09-04 | 2019-12-23 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-09-04 | 2019-12-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-04 | 2019-12-23 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-09-04 | 2019-12-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-09-04 | 2019-12-23 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2019-09-04 | 2019-11-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-04 | 2019-11-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-04 | 2019-11-15 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2019-09-04 | 2019-11-15 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2019-09-10 | 2019-10-25 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-09-10 | 2019-10-25 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-09-10 | 2019-10-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-10 | 2019-10-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-10 | 2019-10-25 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-09-10 | 2019-10-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-10 | 2019-10-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-10 | 2019-10-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-02 | 2018-05-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-05-02 | 2018-05-30 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2018-05-02 | 2018-05-30 | 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 | 2018-04-11 | 2018-05-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-11 | 2018-05-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-04-11 | 2018-05-21 | 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 | 2018-04-11 | 2018-05-21 | 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 | 2018-04-11 | 2018-05-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-11 | 2018-05-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-11 | 2018-05-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-11 | 2018-05-21 | N |
