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Deficiency Records for Serenity Healthcare
A list of the most recent deficiencies for Serenity Healthcare. 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 Serenity Healthcare. 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 | 2024-07-11 | 2024-08-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-11 | 2024-08-14 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-07-11 | 2024-08-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-11 | 2024-08-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-02 | 2024-07-24 | N |
| Have an externally vented heating system. | Fire Safety | 2024-07-02 | 2024-07-24 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2024-07-02 | 2024-07-24 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-05-10 | 2019-06-14 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-05-10 | 2019-06-14 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-05-10 | 2019-06-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-10 | 2019-06-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-10 | 2019-06-14 | 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 | 2019-05-10 | 2019-06-14 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-05-10 | 2019-06-14 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-03-05 | 2019-03-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-05 | 2019-03-14 | N |
| Use approved construction type or materials. | Fire Safety | 2019-03-05 | 2019-03-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-03-05 | 2019-03-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-05 | 2019-03-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-05 | 2019-03-08 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-03-05 | 2019-03-07 | N |
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