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Deficiency Records for Citadel at Casa Scalabrini
A list of the most recent deficiencies for Citadel at Casa Scalabrini. 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 Citadel at Casa Scalabrini. 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? |
|---|---|---|---|---|
| Install a two-hour-resistant firewall separation. | Fire Safety | 2024-01-16 | 2024-02-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-16 | 2024-02-29 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-01-16 | 2024-02-29 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-01-16 | 2024-02-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-01-16 | 2024-02-29 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-01-16 | 2024-02-29 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-01-16 | 2024-02-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-16 | 2024-02-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-16 | 2024-02-29 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-01-16 | 2024-02-29 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-01-16 | 2024-02-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-16 | 2024-02-29 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-01-16 | 2024-02-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-16 | 2024-02-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-16 | 2024-02-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-05 | 2024-02-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-05 | 2024-02-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-05 | 2024-02-09 | 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 | 2024-01-05 | 2024-02-09 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-01-05 | 2024-02-09 | N |
| Respond appropriately to all alleged violations. | Health | 2023-10-04 | 2023-11-02 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-07 | 2023-05-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-07 | 2023-04-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-07 | 2023-04-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-07 | 2023-04-16 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-03-07 | 2023-03-30 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-03-07 | 2023-03-30 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-03-07 | 2023-03-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-03-07 | 2023-03-30 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-03-07 | 2023-03-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-07 | 2023-03-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-07 | 2023-03-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-03-07 | 2023-03-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-02 | 2023-03-20 | 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 | 2023-03-02 | 2023-03-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-02 | 2023-03-20 | 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 | 2023-03-02 | 2023-03-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-22 | 2022-12-09 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-11-22 | 2022-12-09 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-10-20 | 2022-05-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-20 | 2021-11-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-15 | 2021-11-05 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2021-10-20 | 2021-11-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-10-20 | 2021-11-05 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-10-20 | 2021-11-05 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-10-20 | 2021-11-05 | 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 | 2021-10-20 | 2021-11-05 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-10-20 | 2021-11-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-20 | 2021-11-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-10-20 | 2021-11-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-10-20 | 2021-11-05 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2021-10-20 | 2021-11-05 | N |
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