A list of the most recent deficiencies for Pigeon Falls Hcc. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-10 | 2023-05-31 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-05-08 | 2023-05-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-08 | 2023-05-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-08 | 2023-05-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-08 | 2023-05-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-20 | 2022-05-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-20 | 2022-05-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-20 | 2022-05-19 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-04-19 | 2022-05-19 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-04-19 | 2022-05-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-19 | 2022-05-19 | 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 | 2022-04-19 | 2022-05-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-04-19 | 2022-05-19 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-04-19 | 2022-05-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-19 | 2022-05-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-19 | 2022-05-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-19 | 2022-05-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-19 | 2022-05-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-19 | 2022-05-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-19 | 2022-05-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-04-19 | 2022-05-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-19 | 2022-05-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-19 | 2022-05-19 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-02-03 | 2021-02-28 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-02-02 | 2021-02-28 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-02-02 | 2021-02-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-02-02 | 2021-02-28 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-02-02 | 2021-02-28 | N |
