Deficiency Records for Randolph Health Services

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Updated as of March 01, 2024

A list of the most recent deficiencies for Randolph Health Services. 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 2023-11-02 2023-11-22 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 2023-11-02 2023-11-22 N
Construct fire resistant interior walls. Fire Safety 2023-11-02 2023-11-22 N
Install an approved automatic sprinkler system. Fire Safety 2023-11-02 2023-11-22 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-11-02 2023-11-22 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2023-11-02 2023-11-22 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-11-02 2023-11-22 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-11-02 2023-11-22 N
Provide and implement an infection prevention and control program. Health 2023-02-08 2023-03-09 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-09-22 2022-10-21 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-09-21 2022-10-21 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-09-21 2022-09-23 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-09-21 2022-09-23 N
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Fire Safety 2022-09-21 2022-09-23 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-08-11 2021-09-10 N
Construct fire resistant interior walls. Fire Safety 2021-08-11 2021-09-10 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-08-11 2021-09-10 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2021-08-11 2021-09-10 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2021-08-11 2021-09-10 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-08-11 2021-09-10 N