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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? |
|---|---|---|---|---|
| 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 |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-12 | 2019-07-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-12 | 2019-07-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-06-12 | 2019-07-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-12 | 2019-07-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-12 | 2019-07-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-12 | 2019-07-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-12 | 2019-07-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-21 | 2019-04-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-21 | 2019-04-08 | 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 | 2019-03-21 | 2019-04-08 | 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 | 2019-03-21 | 2019-04-08 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2019-03-21 | 2019-04-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-21 | 2019-04-08 | N |
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