A list of the most recent deficiencies for Canterbury 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-21 | 2023-10-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-11 | 2023-08-10 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-07-11 | 2023-08-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-07-14 | 2022-08-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-14 | 2022-08-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-14 | 2022-08-31 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-07-14 | 2022-08-31 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-07-14 | 2022-08-31 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-07-14 | 2022-08-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-14 | 2022-08-30 | 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 | 2022-07-14 | 2022-08-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-14 | 2022-08-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-14 | 2022-08-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-14 | 2022-08-30 | 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 | 2022-07-14 | 2022-08-30 | 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 | 2022-07-14 | 2022-08-30 | 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 | 2022-07-14 | 2022-08-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-14 | 2022-08-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-07-14 | 2022-08-30 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-07-14 | 2022-08-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-07-14 | 2022-08-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-14 | 2022-08-30 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-07-14 | 2022-08-30 | Y |
| Provide or obtain dental services for each resident. | Health | 2022-07-14 | 2022-08-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-14 | 2022-08-30 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-07-14 | 2022-08-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-07-14 | 2022-08-29 | N |
| Post nurse staffing information every day. | Health | 2022-07-14 | 2022-08-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-07-12 | 2022-08-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-12 | 2022-08-15 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-07-12 | 2022-08-15 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-07-12 | 2022-08-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-12 | 2022-08-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-07-12 | 2022-08-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-12 | 2022-08-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-07-12 | 2022-08-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-12 | 2022-08-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-29 | 2021-05-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-03-31 | 2021-03-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-31 | 2021-03-31 | 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 | 2021-03-31 | 2021-03-31 | 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 | 2019-10-09 | 2019-12-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-09 | 2019-12-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-09 | 2019-12-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-09 | 2019-12-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-10-09 | 2019-12-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-09 | 2019-12-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-09 | 2019-12-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-09 | 2019-12-03 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-11-04 | 2019-11-07 | N |
| 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 | 2019-11-04 | 2019-11-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-11-04 | 2019-11-07 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-11-04 | 2019-11-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-04 | 2019-11-07 | N |
| Respond appropriately to all alleged violations. | Health | 2019-11-04 | 2019-11-07 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-11-04 | 2019-11-07 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-11-04 | 2019-11-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-04 | 2019-11-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-11-04 | 2019-11-07 | N |
