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Deficiency Records for Paul House and Health Cr Ctr

A list of the most recent deficiencies for Paul House and Health Cr Ctr. 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 Paul House and Health Cr Ctr. 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?
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2024-07-26 2024-08-06 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-07-19 2024-08-01 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 2024-07-19 2024-08-01 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2024-07-19 2024-08-01 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-07-19 2024-08-01 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 2024-07-19 2024-08-01 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-07-19 2024-08-01 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-07-19 2024-08-01 N
Ensure medication error rates are not 5 percent or greater. Health 2024-07-19 2024-08-01 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 2024-07-19 2024-08-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-07-19 2024-08-01 N
Dispose of garbage and refuse properly. Health 2024-07-19 2024-08-01 N
Provide and implement an infection prevention and control program. Health 2024-07-19 2024-08-01 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-07-19 2024-08-01 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2024-07-19 2024-08-01 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2024-07-26 2024-08-01 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 2024-07-26 2024-08-01 N
Provide properly protected cooking facilities. Fire Safety 2024-07-26 2024-08-01 N
Install an approved automatic sprinkler system. Fire Safety 2024-07-26 2024-08-01 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-07-26 2024-08-01 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-07-03 2024-07-23 Y
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-08-22 2024-04-09 N
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Health 2024-01-18 2024-02-02 Y
Install an approved automatic sprinkler system. Fire Safety 2022-05-19 2024-01-31 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-10-21 2023-10-30 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 2023-10-21 2023-10-30 Y
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-08-22 2023-10-30 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-08-22 2023-09-19 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-08-22 2023-09-05 N
Establish staff and initial training requirements. Fire Safety 2023-08-22 2023-09-05 N
Conduct testing and exercise requirements. Fire Safety 2023-08-22 2023-09-05 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2023-08-22 2023-09-05 N
Have exits that are accessible at all times. Fire Safety 2023-08-22 2023-09-05 N
Have properly located and lighted "Exit" signs. Fire Safety 2023-08-22 2023-09-05 N
Have an enclosure around a vertical opening shaft. Fire Safety 2023-08-22 2023-09-05 N
Provide properly protected cooking facilities. Fire Safety 2023-08-22 2023-09-05 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-08-22 2023-09-05 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-08-22 2023-09-05 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2023-08-22 2023-09-05 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-08-11 2023-08-30 N
Ensure medication error rates are not 5 percent or greater. Health 2023-08-11 2023-08-30 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 2023-08-11 2023-08-30 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2023-08-11 2023-08-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-08-11 2023-08-30 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2023-08-11 2023-08-30 N
Dispose of garbage and refuse properly. Health 2023-08-11 2023-08-30 N
Provide and implement an infection prevention and control program. Health 2023-08-11 2023-08-30 N
Implement a program that monitors antibiotic use. Health 2023-08-11 2023-08-30 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-07-07 2022-07-08 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-07-07 2022-07-08 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2022-07-07 2022-07-08 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-06-17 2022-06-20 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-06-17 2022-06-20 Y
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 2022-05-13 2022-06-05 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-05-13 2022-06-05 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-05-13 2022-06-05 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-05-13 2022-06-05 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 2022-05-13 2022-06-05 N
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2022-05-13 2022-06-05 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 2022-05-13 2022-06-05 N
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 2022-05-13 2022-06-05 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-05-13 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 2022-05-13 2022-06-05 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-05-13 2022-06-05 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2022-05-13 2022-06-05 N
Keep all essential equipment working safely. Health 2022-05-13 2022-06-05 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2022-05-19 2022-06-05 N
Have properly located and lighted "Exit" signs. Fire Safety 2022-05-19 2022-06-05 N
Have an enclosure around a vertical opening shaft. Fire Safety 2022-05-19 2022-06-05 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-05-19 2022-06-05 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-05-19 2022-06-05 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-05-19 2022-06-05 N
Install properly constructed and protected linen or trash chutes. Fire Safety 2022-05-19 2022-06-05 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-05-19 2022-06-05 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-05-19 2022-06-05 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-05-19 2022-06-05 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-05-19 2022-06-05 N
Have proper medical gas storage and administration areas. Fire Safety 2022-05-19 2022-06-05 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-02-04 2022-02-05 Y

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