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Deficiency Records for The Springs at Monarch Landing

A list of the most recent deficiencies for The Springs at Monarch Landing. 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 The Springs at Monarch Landing. 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 appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2024-07-31 2024-08-23 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 2024-07-31 2024-08-23 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-07-31 2024-08-23 N
Provide and implement an infection prevention and control program. Health 2024-07-31 2024-08-23 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 2024-08-07 2024-08-22 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-08-07 2024-08-22 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-08-31 2023-09-20 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-08-31 2023-09-13 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2023-08-25 2023-09-12 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 2023-08-25 2023-09-12 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-08-31 2023-09-09 N
Install a two-hour-resistant firewall separation. Fire Safety 2023-08-31 2023-09-07 N
Install an approved automatic sprinkler system. Fire Safety 2023-08-31 2023-09-07 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 2023-08-31 2023-09-05 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-08-31 2023-09-05 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-08-03 2023-08-25 Y
Ensure that residents are free from significant medication errors. Health 2023-02-23 2023-03-10 Y
Install a two-hour-resistant firewall separation. Fire Safety 2022-09-28 2022-10-07 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-09-28 2022-10-06 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-09-28 2022-10-05 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-09-28 2022-10-03 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-09-08 2022-09-21 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 2022-09-08 2022-09-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-09-08 2022-09-21 N
Provide and implement an infection prevention and control program. Health 2022-09-08 2022-09-21 N

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