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Deficiency Records for Canterbury Woods
A list of the most recent deficiencies for Canterbury Woods. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Canterbury Woods. 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 properly protected cooking facilities. | Fire Safety | 2024-09-17 | 2024-09-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-09-17 | 2024-09-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-17 | 2024-09-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-09-13 | 2024-09-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-13 | 2024-09-27 | N |
| Provide activities to meet all resident's needs. | Health | 2024-09-13 | 2024-09-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-09-13 | 2024-09-27 | N |
| 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 | 2024-09-13 | 2024-09-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-13 | 2024-09-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-09-13 | 2024-09-27 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-09-13 | 2024-09-27 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-09-13 | 2024-09-27 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-09-13 | 2024-09-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-13 | 2024-09-27 | 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 | 2023-07-21 | 2023-08-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-07-21 | 2023-08-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-07-21 | 2023-08-11 | N |
| Provide activities to meet all resident's needs. | Health | 2023-07-21 | 2023-08-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-21 | 2023-08-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-21 | 2023-08-11 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-07-21 | 2023-08-11 | 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 | 2023-07-21 | 2023-08-11 | 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 | 2023-07-21 | 2023-08-11 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-07-21 | 2023-08-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-21 | 2023-08-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-21 | 2023-08-11 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-07-24 | 2023-08-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-07-24 | 2023-08-09 | 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 | 2023-07-24 | 2023-08-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-24 | 2023-08-09 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-07-24 | 2023-08-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-24 | 2023-08-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-24 | 2023-08-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-07-24 | 2023-08-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-24 | 2023-08-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-24 | 2023-08-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-24 | 2023-08-09 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-07-24 | 2023-08-09 | N |
| Use approved construction type or materials. | Fire Safety | 2020-08-11 | 2020-09-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-08-11 | 2020-09-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-08-11 | 2020-09-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-08-11 | 2020-09-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-11 | 2020-02-27 | 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 | 2020-02-11 | 2020-02-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-11 | 2020-02-27 | N |
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