A list of the most recent deficiencies for Northgate Plaza. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-11-13 | 2023-12-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-09 | 2023-12-09 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-11-09 | 2023-12-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-09 | 2023-12-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-09 | 2023-12-09 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-11-09 | 2023-12-09 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-09 | 2023-12-09 | Y |
| 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 | 2023-11-09 | 2023-12-09 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-09 | 2023-12-09 | Y |
| 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 | 2023-11-09 | 2023-12-09 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-09 | 2023-12-09 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-09 | 2023-12-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-09 | 2023-12-09 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-13 | 2023-11-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-13 | 2023-11-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-13 | 2023-11-15 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-09-07 | 2023-09-10 | 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 | 2023-08-22 | 2023-08-25 | 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 | 2023-08-04 | 2023-08-10 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-04 | 2023-08-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-16 | 2023-06-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-16 | 2023-06-19 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-04-13 | 2023-04-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-13 | 2023-04-17 | Y |
| Provide appropriate foot care. | Health | 2023-02-26 | 2023-03-02 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-02-26 | 2023-02-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-26 | 2023-02-28 | Y |
| 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 | 2023-02-26 | 2023-02-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-29 | 2023-01-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-20 | 2022-11-18 | Y |
| Provide appropriate foot care. | Health | 2022-09-28 | 2022-11-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-09-28 | 2022-10-24 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-28 | 2022-10-24 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-09-28 | 2022-10-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-28 | 2022-10-23 | 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 | 2022-09-28 | 2022-10-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-28 | 2022-10-22 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-09-29 | 2022-10-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-29 | 2022-10-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-28 | 2022-10-03 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-06-01 | 2022-06-02 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-06-01 | 2022-06-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-06 | 2022-04-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-16 | 2022-03-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-06 | 2022-01-09 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-06 | 2022-01-08 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-30 | 2021-12-06 | Y |
| 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 | 2021-07-08 | 2021-07-10 | 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 | 2021-07-08 | 2021-07-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-07-08 | 2021-07-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-08 | 2021-07-10 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-07-08 | 2021-07-10 | 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 | 2021-07-09 | 2021-07-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-07-09 | 2021-07-10 | 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 | 2021-07-09 | 2021-07-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-07-09 | 2021-07-10 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-07-09 | 2021-07-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-09 | 2021-07-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-09 | 2021-07-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-09 | 2021-07-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-09 | 2021-07-10 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-06-04 | 2021-06-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-04 | 2021-06-07 | Y |
