Deficiency Records for Anna John Resident Centered Care Community
Updated as of April 01, 2024
A list of the most recent deficiencies for Anna John Resident Centered Care Community. 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 smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-21 | 2024-01-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-21 | 2024-01-03 | N |
| Use approved construction type or materials. | Fire Safety | 2023-09-21 | 2023-10-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-09-21 | 2023-10-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-21 | 2023-10-19 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2023-09-21 | 2023-10-18 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-09-21 | 2023-10-18 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-09-21 | 2023-10-18 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-09-20 | 2023-10-16 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-09-21 | 2023-10-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-09-21 | 2023-10-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-21 | 2023-10-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-21 | 2023-10-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-21 | 2023-10-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-12 | 2022-11-02 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-10-13 | 2022-11-01 | 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 | 2022-10-13 | 2022-10-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-13 | 2022-10-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-10-13 | 2022-10-14 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-02-01 | 2022-02-25 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-09-09 | 2021-10-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-09 | 2021-10-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-09 | 2021-10-04 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-09-09 | 2021-10-04 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-09-10 | 2021-10-04 | N |
