A list of the most recent deficiencies for Pride Tlc Therapy and Living Campus. 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? |
|---|---|---|---|---|
| Establish policies and procedures for sheltering. | Fire Safety | 2023-05-22 | 2023-06-20 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-05-22 | 2023-06-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-04-20 | 2022-05-20 | N |
| Develop a communication plan. | Fire Safety | 2022-04-20 | 2022-05-20 | 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 | 2022-04-20 | 2022-05-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-20 | 2022-05-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-20 | 2022-05-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-20 | 2022-05-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-20 | 2022-05-20 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2022-04-20 | 2022-05-20 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-04-20 | 2022-05-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-20 | 2022-05-20 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-04-20 | 2022-05-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-07 | 2022-01-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-24 | 2021-03-24 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-02-23 | 2021-03-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-02-23 | 2021-03-24 | N |
