A list of the most recent deficiencies for Pioneer House. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-23 | 2024-03-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-17 | 2024-02-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-15 | 2023-12-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-15 | 2023-12-11 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-11-15 | 2023-12-11 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-10-16 | 2023-11-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-10-16 | 2023-11-15 | 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 | 2023-10-16 | 2023-11-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-16 | 2023-11-15 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-10-16 | 2023-11-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-16 | 2023-11-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-16 | 2023-11-15 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-10-16 | 2023-11-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-16 | 2023-11-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-16 | 2023-11-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-16 | 2023-11-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-16 | 2023-11-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-12 | 2023-11-07 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-10-12 | 2023-11-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-12 | 2023-11-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-12 | 2023-11-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-10-12 | 2023-11-07 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-10-12 | 2023-11-07 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-10-12 | 2023-11-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-10-12 | 2023-11-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-12 | 2023-11-07 | 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 | 2023-10-12 | 2023-11-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-12 | 2023-11-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-12 | 2023-11-07 | 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 | 2023-10-12 | 2023-11-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-12 | 2023-11-07 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-10-12 | 2023-11-07 | 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 | 2023-10-12 | 2023-11-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-12 | 2023-11-07 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-10-12 | 2023-11-07 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-10-12 | 2023-11-07 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-10-12 | 2023-11-07 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-10-12 | 2023-11-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-12 | 2023-11-07 | N |
| Dispose of garbage and refuse properly. | Health | 2023-10-12 | 2023-11-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-12 | 2023-11-07 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-10-12 | 2023-11-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-10-12 | 2023-11-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-26 | 2023-10-15 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-08-21 | 2023-09-21 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2022-11-16 | 2022-12-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-16 | 2022-12-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-16 | 2022-12-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-11-16 | 2022-12-16 | 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 | 2022-11-16 | 2022-12-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-16 | 2022-12-16 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-11-16 | 2022-12-16 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-11-16 | 2022-12-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-16 | 2022-12-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-16 | 2022-12-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-16 | 2022-12-16 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-11-16 | 2022-12-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-16 | 2022-12-16 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-11-11 | 2022-12-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-11 | 2022-12-12 | 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 | 2022-11-11 | 2022-12-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-11 | 2022-12-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-11 | 2022-12-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-11 | 2022-12-12 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-11-11 | 2022-12-12 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-11-11 | 2022-12-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-11 | 2022-12-12 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-11-11 | 2022-12-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-11 | 2022-12-12 | N |
| Keep all essential equipment working safely. | Health | 2022-11-11 | 2022-12-12 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-09-20 | 2022-10-04 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2019-04-11 | 2019-05-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-04-11 | 2019-05-07 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-04-11 | 2019-05-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-11 | 2019-05-07 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2019-04-11 | 2019-05-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-04-11 | 2019-05-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-11 | 2019-05-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-11 | 2019-05-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-02-07 | 2019-04-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-07 | 2019-04-05 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-02-07 | 2019-04-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-07 | 2019-04-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-07 | 2019-04-05 | N |
