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Deficiency Records for Eden Vista Propect Heights
A list of the most recent deficiencies for Eden Vista Propect Heights. 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 Eden Vista Propect Heights. 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 an alternate power supply for its alarm system. | Fire Safety | 2024-08-13 | 2024-08-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-13 | 2024-08-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-13 | 2024-08-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-13 | 2024-08-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-08-13 | 2024-08-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-13 | 2024-08-21 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-08-13 | 2024-08-21 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-05-24 | 2023-09-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-11 | 2023-09-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-11 | 2023-09-22 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-24 | 2023-07-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-18 | 2023-06-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-18 | 2023-06-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-18 | 2023-06-15 | 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 | 2023-05-18 | 2023-06-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-18 | 2023-06-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-05-24 | 2023-06-15 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-05-24 | 2023-06-15 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-05-24 | 2023-06-15 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-05-24 | 2023-06-15 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-05-24 | 2023-06-15 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-05-24 | 2023-06-15 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-05-24 | 2023-06-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-05-24 | 2023-06-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-24 | 2023-06-15 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-05-24 | 2023-06-15 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-05-24 | 2023-06-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-24 | 2023-06-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-24 | 2023-06-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-24 | 2023-06-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-24 | 2023-06-15 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-05-24 | 2023-06-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-24 | 2023-06-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-24 | 2023-06-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-24 | 2023-06-15 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-05-24 | 2023-06-05 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-09-01 | 2023-02-09 | 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 | 2022-12-05 | 2022-12-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-15 | 2022-12-09 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-01 | 2022-10-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-09-01 | 2022-10-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-18 | 2022-10-10 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-09-01 | 2022-10-06 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-09-01 | 2022-10-06 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-09-01 | 2022-10-06 | N |
| Develop a communication plan. | Fire Safety | 2022-09-01 | 2022-10-06 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-09-01 | 2022-10-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-09-01 | 2022-10-06 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-09-01 | 2022-10-06 | N |
| Use approved construction type or materials. | Fire Safety | 2022-09-01 | 2022-10-06 | 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 | 2022-09-01 | 2022-10-06 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-09-01 | 2022-10-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-09-01 | 2022-10-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-01 | 2022-10-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-01 | 2022-10-06 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-09-01 | 2022-10-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-01 | 2022-10-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-09-01 | 2022-10-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-01 | 2022-10-06 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-09-01 | 2022-10-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-09-01 | 2022-10-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-01 | 2022-10-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-01 | 2022-10-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-09-01 | 2022-10-06 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-09-01 | 2022-10-06 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-09-18 | 2022-09-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-19 | 2022-09-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-08-19 | 2022-09-12 | 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 | 2022-08-19 | 2022-09-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-19 | 2022-09-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-19 | 2022-09-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-19 | 2022-09-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-19 | 2022-09-12 | 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 | 2022-08-19 | 2022-09-12 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-08-19 | 2022-09-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-19 | 2022-09-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-07 | 2022-03-08 | Y |
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