A list of the most recent deficiencies for United Pioneer 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-02 | 2023-09-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-02 | 2023-09-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-02 | 2023-09-02 | 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 | 2023-08-02 | 2023-09-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-02 | 2023-09-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-02 | 2023-09-02 | N |
| Keep all essential equipment working safely. | Health | 2023-08-02 | 2023-09-02 | 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 | 2023-08-01 | 2023-09-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-01 | 2023-09-02 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-08-03 | 2022-09-03 | N |
| Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | Health | 2022-08-03 | 2022-09-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-03 | 2022-09-03 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2022-08-03 | 2022-09-03 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-08-02 | 2022-09-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-02 | 2022-09-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-02 | 2022-09-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-02 | 2022-09-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-02 | 2022-09-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-02 | 2022-09-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-12 | 2021-06-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-12 | 2021-06-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-12 | 2021-06-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-12 | 2021-06-11 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-05-10 | 2021-06-11 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2021-05-10 | 2021-06-11 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-05-10 | 2021-06-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-10 | 2021-06-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-10 | 2021-06-11 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-05-10 | 2021-06-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-10 | 2021-06-11 | N |
