A list of the most recent deficiencies for Town Hall Estates. 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? |
|---|---|---|---|---|
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-07-18 | 2023-08-17 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-07-18 | 2023-08-15 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-07-18 | 2023-08-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-18 | 2023-08-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-07-18 | 2023-08-09 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-07-18 | 2023-08-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-18 | 2023-08-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-18 | 2023-08-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-18 | 2023-08-07 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-07-18 | 2023-08-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-18 | 2023-08-03 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2023-07-18 | 2023-08-03 | 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 | 2023-07-18 | 2023-07-28 | 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 | 2023-07-18 | 2023-07-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-18 | 2023-07-21 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2023-07-18 | 2023-07-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-07-18 | 2023-07-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-14 | 2023-07-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-14 | 2023-07-11 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-06-14 | 2023-07-06 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-06-14 | 2023-06-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-14 | 2023-06-18 | N |
| Provide appropriate foot care. | Health | 2023-06-14 | 2023-06-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-11 | 2022-06-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-11 | 2022-06-10 | N |
