A list of the most recent deficiencies for Irving Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Install proper backup exit lighting. | Fire Safety | 2023-10-18 | 2023-12-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-18 | 2023-12-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-18 | 2023-12-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-18 | 2023-12-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-18 | 2023-12-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-19 | 2023-10-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-19 | 2023-10-20 | 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 | 2023-10-19 | 2023-10-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-19 | 2023-10-20 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2023-06-21 | 2023-08-05 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-24 | 2022-10-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-08-24 | 2022-10-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-24 | 2022-10-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-24 | 2022-10-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-24 | 2022-10-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-24 | 2022-10-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-24 | 2022-10-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-24 | 2022-10-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-24 | 2022-10-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-24 | 2022-09-16 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-08-24 | 2022-08-31 | 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 | 2021-06-15 | 2021-07-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-06-15 | 2021-07-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-15 | 2021-07-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-15 | 2021-07-26 | N |
