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Deficiency Records for Allure of Zion
A list of the most recent deficiencies for Allure of Zion. 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 Allure of Zion. 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 and implement an infection prevention and control program. | Health | 2024-07-12 | 2024-08-30 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-07-25 | 2024-08-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-07-25 | 2024-08-21 | 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 | 2024-07-25 | 2024-08-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-25 | 2024-08-21 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-07-25 | 2024-08-21 | 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 | 2024-08-12 | 2024-08-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-12 | 2024-08-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-12 | 2024-08-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-25 | 2024-07-30 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2024-07-25 | 2024-07-29 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2024-07-25 | 2024-07-26 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-07-25 | 2024-07-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-25 | 2024-07-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-07-25 | 2024-07-26 | 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 | 2024-07-12 | 2024-07-24 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-07-12 | 2024-07-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-12 | 2024-07-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-12 | 2024-07-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-12 | 2024-07-16 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-07-12 | 2024-07-16 | 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 | 2024-07-12 | 2024-07-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-25 | 2024-04-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-03 | 2024-04-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-02 | 2024-03-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-02 | 2024-01-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-02 | 2024-01-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-02 | 2024-01-03 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-01-02 | 2024-01-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-02 | 2024-01-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-23 | 2023-11-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-23 | 2023-10-25 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-23 | 2023-10-25 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-23 | 2023-10-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-14 | 2023-08-21 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-08-14 | 2023-08-21 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-08-07 | 2023-08-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-07 | 2023-08-14 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-08-07 | 2023-08-14 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-08-07 | 2023-08-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-14 | 2023-07-16 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-06-14 | 2023-07-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-14 | 2023-07-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-22 | 2023-07-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-22 | 2023-07-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-22 | 2023-07-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-14 | 2023-07-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-22 | 2023-07-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-22 | 2023-07-03 | 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 | 2023-06-14 | 2023-06-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-22 | 2023-06-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-22 | 2023-06-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-22 | 2023-06-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-22 | 2023-06-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-22 | 2023-06-30 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-06-14 | 2023-06-26 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-06-14 | 2023-06-26 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-06-14 | 2023-06-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-24 | 2023-06-05 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-16 | 2022-08-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-16 | 2022-08-25 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2022-04-12 | 2022-04-29 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-04-12 | 2022-04-29 | 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 | 2022-04-12 | 2022-04-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-12 | 2022-04-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-12 | 2022-04-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-12 | 2022-04-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-04-12 | 2022-04-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-12 | 2022-04-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-12 | 2022-04-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-30 | 2022-04-18 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-03-30 | 2022-04-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-30 | 2022-04-18 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-03-30 | 2022-04-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-30 | 2022-04-18 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-03-30 | 2022-04-18 | 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 | 2022-03-30 | 2022-04-18 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-03-30 | 2022-04-18 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-03-30 | 2022-04-18 | N |
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