A list of the most recent deficiencies for Skyline Terrace Conv Home. 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? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-17 | 2023-09-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-01-31 | 2023-02-24 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-01-31 | 2023-02-24 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2023-01-31 | 2023-02-24 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-01-31 | 2023-02-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-07-22 | 2021-09-03 | 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 | 2021-07-22 | 2021-09-03 | 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 | 2021-07-22 | 2021-09-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-22 | 2021-09-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-22 | 2021-09-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-22 | 2021-09-01 | 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 | 2021-08-05 | 2021-08-31 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-08-05 | 2021-08-31 | 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 | 2020-03-05 | 2020-08-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-05 | 2020-08-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-05 | 2020-08-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-03-05 | 2020-08-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-05 | 2020-08-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-03-05 | 2020-08-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-03-05 | 2020-08-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-05 | 2020-08-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-10-23 | 2019-12-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-23 | 2019-12-04 | 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 | 2019-10-23 | 2019-12-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-23 | 2019-12-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-23 | 2019-12-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-23 | 2019-12-04 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-10-23 | 2019-12-04 | N |
