A list of the most recent deficiencies for Peach Tree 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? |
---|---|---|---|---|
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-12-28 | 2023-12-29 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-28 | 2023-12-29 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-10-20 | 2023-11-06 | Y |
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-10-20 | 2023-11-03 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-07-18 | 2023-07-20 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-04-20 | 2023-04-21 | Y |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-10 | 2023-03-11 | N |
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 | 2023-02-07 | 2023-02-27 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-07 | 2023-02-27 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-07 | 2023-02-27 | N |
Post nurse staffing information every day. | Health | 2023-02-07 | 2023-02-27 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-07 | 2023-02-27 | N |
Dispose of garbage and refuse properly. | Health | 2023-02-07 | 2023-02-27 | N |
Provide and implement an infection prevention and control program. | Health | 2023-02-07 | 2023-02-27 | N |
Provide and implement an infection prevention and control program. | Health | 2022-06-09 | 2022-06-17 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-07 | 2021-12-29 | N |
Establish staff and initial training requirements. | Fire Safety | 2021-12-08 | 2021-12-27 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-12-08 | 2021-12-27 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-08 | 2021-12-27 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-04 | 2021-12-01 | Y |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-09-17 | 2020-10-16 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-09-17 | 2020-10-16 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-09-16 | 2020-10-16 | N |
Include a process for Emergency Preparedness collaboration. | Fire Safety | 2020-09-16 | 2020-10-16 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2020-09-16 | 2020-10-16 | 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 | 2020-09-16 | 2020-10-16 | 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 | 2020-09-16 | 2020-10-16 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-16 | 2020-10-16 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-09-16 | 2020-10-16 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2020-09-16 | 2020-10-16 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-09-16 | 2020-10-16 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-09-16 | 2020-10-16 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2020-09-16 | 2020-10-16 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-09-16 | 2020-10-16 | N |
Have an alternate power supply for its alarm system. | Fire Safety | 2020-09-16 | Not Fixed | N |