Deficiency Records for Presbyterian Village North Special Care Ctr
Updated as of November 01, 2019
This is not the most recent data for Presbyterian Village North Special Care Ctr. For the most recent information, click here.
A list of the most recent deficiencies for Presbyterian Village North Special Care Ctr. 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? |
|---|---|---|---|---|
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-08-23 | 2018-09-25 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-08-23 | 2018-09-25 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-08-23 | 2018-09-25 | N |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2018-08-23 | 2018-09-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-08-23 | 2018-09-25 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-08-23 | 2018-09-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-08-23 | 2018-09-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-08-23 | 2018-09-25 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-08-23 | 2018-09-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-23 | 2018-09-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-08-23 | 2018-09-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-08-23 | 2018-09-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-08-23 | 2018-09-25 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2018-08-23 | 2018-09-25 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-08-23 | 2018-09-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-23 | 2018-09-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-23 | 2018-09-25 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-08-24 | 2018-09-21 | N |
| Provide activities to meet all resident's needs. | Health | 2018-08-24 | 2018-09-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-08-24 | 2018-09-21 | 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 ne | Health | 2018-08-24 | 2018-09-21 | 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 | 2018-08-24 | 2018-09-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-24 | 2018-09-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-24 | 2018-09-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-24 | 2018-09-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-24 | 2018-08-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-01-24 | 2018-02-21 | 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 | 2017-12-04 | 2017-12-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2017-12-04 | 2017-12-22 | Y |
| Use approved construction type or materials. | Fire Safety | 2017-08-31 | 2017-10-15 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-08-31 | 2017-10-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-08-31 | 2017-10-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-08-31 | 2017-10-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-08-31 | 2017-10-15 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-09-01 | 2017-09-22 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-08-05 | 2016-09-30 | N |
