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 |