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Deficiency Records for The Pavilion at Jacksonville
A list of the most recent deficiencies for The Pavilion at Jacksonville. 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 Pavilion at Jacksonville. 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? |
|---|---|---|---|---|
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-05-02 | 2024-05-31 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-05-02 | 2024-05-31 | 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 | 2024-05-02 | 2024-05-31 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-05-02 | 2024-05-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-01 | 2024-05-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-05-01 | 2024-05-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-01 | 2024-05-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-05-01 | 2024-05-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-01 | 2024-05-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-05-12 | 2022-06-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-12 | 2022-06-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-12 | 2022-06-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-10-27 | 2020-11-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-10-27 | 2020-11-18 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2020-10-27 | 2020-11-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-10-27 | 2020-11-18 | N |
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