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Deficiency Records for Ignite Medical Hanover Park
A list of the most recent deficiencies for Ignite Medical Hanover Park. 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 Ignite Medical Hanover Park. 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 an approved automatic sprinkler system. | Fire Safety | 2024-07-10 | 2024-08-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-10 | 2024-08-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-10 | 2024-08-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-07-10 | 2024-08-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-07-10 | 2024-08-01 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-07-10 | 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 | 2024-07-10 | 2024-08-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-07-10 | 2024-08-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-10 | 2024-08-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-10 | 2024-08-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-07-10 | 2024-08-01 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-07-10 | 2024-08-01 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-07-10 | 2024-08-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-10 | 2024-08-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-10 | 2024-08-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-10 | 2024-08-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-12 | 2024-07-26 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-07-12 | 2024-07-26 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-07-12 | 2024-07-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-12 | 2024-07-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-12 | 2024-07-26 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-07-12 | 2024-07-26 | Y |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-07-12 | 2024-07-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-30 | 2024-06-11 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-05-30 | 2024-06-11 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-16 | 2023-09-29 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-08-16 | 2023-09-29 | 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 | 2023-08-16 | 2023-09-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-16 | 2023-09-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-08-16 | 2023-09-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-16 | 2023-09-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-16 | 2023-09-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-16 | 2023-09-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-16 | 2023-09-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-08-16 | 2023-09-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-16 | 2023-09-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-03 | 2023-08-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-03 | 2023-08-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-03 | 2023-08-29 | 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 | 2023-08-03 | 2023-08-29 | 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 | 2023-08-03 | 2023-08-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-03 | 2023-08-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-03 | 2023-08-29 | 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 | 2023-08-03 | 2023-08-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-03 | 2023-08-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-10 | 2023-03-20 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-22 | 2022-12-21 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-11-22 | 2022-12-08 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-11-22 | 2022-12-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-11-22 | 2022-12-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-11-22 | 2022-11-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-22 | 2022-11-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-11-22 | 2022-11-30 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-11-22 | 2022-11-22 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-11-22 | 2022-11-22 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-11-22 | 2022-11-22 | N |
| Develop a communication plan. | Fire Safety | 2022-11-22 | 2022-11-22 | N |
| Establish methods for sharing information. | Fire Safety | 2022-11-22 | 2022-11-22 | 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 | 2022-11-22 | 2022-11-22 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-11-22 | 2022-11-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-27 | 2022-11-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-27 | 2022-11-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-27 | 2022-11-10 | 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 | 2022-10-27 | 2022-11-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-27 | 2022-11-10 | 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 | 2022-10-27 | 2022-11-10 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-10-27 | 2022-11-10 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-10-27 | 2022-11-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-27 | 2022-11-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-19 | 2022-05-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-19 | 2022-05-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-21 | 2022-04-29 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-04-21 | 2022-04-29 | 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 | 2022-04-21 | 2022-04-22 | Y |
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