A list of the most recent deficiencies for Walnut Place. 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-24 | 2023-09-30 | 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 | 2023-08-24 | 2023-09-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-24 | 2023-09-30 | N |
| Use approved construction type or materials. | Fire Safety | 2023-08-24 | 2023-09-30 | 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 | 2023-08-24 | 2023-09-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-24 | 2023-09-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-24 | 2023-09-30 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-08-24 | 2023-09-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-18 | 2022-11-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-18 | 2022-11-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-09 | 2022-09-30 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-09-09 | 2022-09-30 | Y |
| 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 | 2022-09-09 | 2022-09-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-16 | 2022-09-06 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2022-06-22 | 2022-08-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-22 | 2022-08-05 | 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 | 2022-06-22 | 2022-08-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-22 | 2022-08-05 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-06-22 | 2022-08-05 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-06-22 | 2022-08-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-22 | 2022-08-05 | N |
| Post nurse staffing information every day. | Health | 2022-06-22 | 2022-08-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-22 | 2022-08-04 | 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 | 2022-06-22 | 2022-08-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-22 | 2022-08-04 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-06-22 | 2022-07-14 | 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 | 2022-05-26 | 2022-06-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-02 | 2022-04-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-03 | 2021-12-15 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-10-14 | 2021-11-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-14 | 2021-11-04 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-07 | 2021-06-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-05-07 | 2021-06-04 | 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 | 2021-05-07 | 2021-06-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-05-07 | 2021-06-04 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-05-07 | 2021-06-04 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2021-05-07 | 2021-06-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-07 | 2021-06-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-05-07 | 2021-06-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-07 | 2021-06-04 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2021-05-07 | 2021-06-04 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2021-05-07 | 2021-06-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-07 | 2021-06-01 | 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 | 2021-05-06 | 2021-05-25 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-05-07 | 2021-05-25 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-05-07 | 2021-05-10 | N |
