CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Serenethos Care Center, LLC
View the most recent health deficiencies and inspection results for Serenethos Care Center, LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Serenethos Care Center, LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2025-06-20 | 2025-07-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-06-20 | 2025-07-15 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2025-06-20 | 2025-07-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-06-20 | 2025-07-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-06-20 | 2025-07-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-06-20 | 2025-07-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-20 | 2025-07-07 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-06-20 | 2025-07-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-06-20 | 2025-07-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-06-20 | 2025-07-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-06-20 | 2025-07-07 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2025-06-20 | 2025-07-07 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-06-20 | 2025-07-02 | N |
| Use approved construction type or materials. | Fire Safety | 2025-06-20 | 2025-06-27 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2025-06-20 | 2025-06-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-10 | 2024-07-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-10 | 2024-07-02 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-05-10 | 2024-07-02 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-05-10 | 2024-07-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-10 | 2024-07-02 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-05-10 | 2024-07-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-05-10 | 2024-07-02 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-05-10 | 2024-07-02 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-05-10 | 2024-07-02 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-05-10 | 2024-07-02 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-05-10 | 2024-07-02 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-05-10 | 2024-07-02 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-05-10 | 2024-07-02 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-05-10 | 2024-07-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-05-10 | 2024-07-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-10 | 2024-07-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-05-10 | 2024-07-02 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2024-05-10 | 2024-07-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-10 | 2024-07-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-10 | 2024-06-06 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-05-10 | 2024-06-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-10 | 2024-06-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-05-10 | 2024-06-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-05-10 | 2024-06-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-10 | 2024-06-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-10 | 2024-06-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-10 | 2024-06-06 | N |
| Keep all essential equipment working safely. | Health | 2024-05-10 | 2024-06-06 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-05-10 | 2024-06-06 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-05-10 | 2024-06-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-16 | 2023-02-10 | N |
| Dispose of garbage and refuse properly. | Health | 2022-12-16 | 2023-02-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-16 | 2023-02-09 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-12-16 | 2023-02-09 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-12-16 | 2023-02-09 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-12-16 | 2023-02-09 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-12-16 | 2023-02-09 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-12-16 | 2023-02-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-16 | 2023-02-09 | N |
| Keep all essential equipment working safely. | Health | 2022-12-16 | 2023-02-09 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-12-16 | 2023-02-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-12-16 | 2023-01-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-12-16 | 2023-01-20 | N |