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Deficiency Records for The Suites at Someren Glen Care Center
A list of the most recent deficiencies for The Suites at Someren Glen Care Center. 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 The Suites at Someren Glen Care Center. 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 simulated fire drills held at unexpected times. | Fire Safety | 2024-05-14 | 2024-07-17 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-14 | 2024-07-17 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-14 | 2024-07-17 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2024-04-25 | 2024-06-24 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-14 | 2024-06-19 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-25 | 2024-05-23 | N |
Post nurse staffing information every day. | Health | 2024-04-25 | 2024-05-23 | 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 | 2024-04-25 | 2024-05-23 | N |
Provide and implement an infection prevention and control program. | Health | 2024-04-25 | 2024-05-23 | N |
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-04-25 | 2024-05-23 | N |
Perform COVID19 testing on residents and staff. | Health | 2023-01-30 | 2023-01-31 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-01 | 2022-12-31 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-01 | 2022-12-31 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-31 | 2022-05-07 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-31 | 2022-05-06 | Y |
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 | 2022-03-31 | 2022-05-03 | Y |
Respond appropriately to all alleged violations. | Health | 2022-03-31 | 2022-04-30 | Y |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-03-31 | 2022-04-30 | Y |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-03-10 | 2020-05-22 | N |
Provide properly protected cooking facilities. | Fire Safety | 2020-03-10 | 2020-05-22 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-10 | 2020-05-22 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-10 | 2020-05-22 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-03-10 | 2020-05-22 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-03-10 | 2020-05-22 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-10 | 2020-05-22 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-03-10 | 2020-05-22 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-10 | 2020-05-22 | 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 | 2020-02-12 | 2020-03-20 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-12 | 2020-03-20 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-02-12 | 2020-03-20 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-12 | 2020-03-20 | N |
Provide and implement an infection prevention and control program. | Health | 2020-02-12 | 2020-03-20 | N |
Conduct testing and exercise requirements. | Fire Safety | 2020-02-12 | 2020-03-13 | N |
Provide family notifications of emergency plan. | Fire Safety | 2020-02-12 | 2020-03-12 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-02-19 | 2019-03-31 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-02-19 | 2019-03-31 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-02-19 | 2019-03-31 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2019-02-19 | 2019-03-31 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-02-19 | 2019-03-31 | N |
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2019-02-19 | 2019-03-31 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-07 | 2019-03-20 | N |
Provide and implement an infection prevention and control program. | Health | 2019-02-07 | 2019-03-19 | 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 | 2019-02-07 | 2019-03-12 | N |
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