A list of the most recent deficiencies for Newcastle Place. 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? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-12-13 | 2024-01-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-12-13 | 2024-01-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-12-13 | 2024-01-05 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-12-13 | 2024-01-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-13 | 2024-01-05 | 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 | 2023-12-13 | 2024-01-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-12-13 | 2024-01-05 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-13 | 2024-01-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-13 | 2024-01-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-13 | 2024-01-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-14 | 2024-01-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-14 | 2024-01-01 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-12-14 | 2023-12-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-14 | 2023-12-28 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-12-14 | 2023-12-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-14 | 2023-12-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-14 | 2023-12-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-27 | 2022-11-17 | N |
| Dispose of garbage and refuse properly. | Health | 2022-10-27 | 2022-11-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-03 | 2022-11-17 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2022-11-03 | 2022-11-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-04 | 2021-10-01 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-08-04 | 2021-10-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-08-04 | 2021-10-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-05 | 2021-09-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-05 | 2021-09-03 | Y |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2021-08-04 | 2021-08-04 | N |
