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Deficiency Records for Carmel Health and Living Community
A list of the most recent deficiencies for Carmel Health and Living Community. 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 Carmel Health and Living Community. 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-03-01 | 2024-03-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-01 | 2024-03-15 | Y |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2023-11-14 | 2023-11-27 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2023-11-14 | 2023-11-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-11-14 | 2023-11-27 | 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 | 2023-11-14 | 2023-11-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-14 | 2023-11-27 | 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 | 2023-10-27 | 2023-11-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-10-27 | 2023-11-10 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-10-27 | 2023-11-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-27 | 2023-11-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-27 | 2023-11-10 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-10-27 | 2023-11-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-27 | 2023-11-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-09 | 2023-05-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-25 | 2023-05-12 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-25 | 2023-05-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-25 | 2023-05-12 | Y |
| Meet other general requirements. | Fire Safety | 2022-09-15 | 2022-12-02 | 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 | 2022-09-15 | 2022-12-02 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-09-15 | 2022-12-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-09-15 | 2022-12-02 | 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 | 2022-09-15 | 2022-12-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-09-15 | 2022-12-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-15 | 2022-12-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-09-15 | 2022-12-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-09-15 | 2022-12-02 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-09-15 | 2022-12-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-15 | 2022-12-02 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-09-15 | 2022-12-02 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-10 | 2022-08-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-10 | 2022-08-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-10 | 2022-08-26 | 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 | 2022-08-10 | 2022-08-26 | 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 | 2022-08-10 | 2022-08-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-10 | 2022-08-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-10 | 2022-08-26 | Y |
| 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 | 2022-02-21 | 2022-03-11 | 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 | 2021-12-27 | 2022-01-12 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-10-26 | 2021-11-05 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-12 | 2021-10-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-12 | 2021-10-12 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2021-08-12 | 2021-09-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-08-12 | 2021-09-24 | 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 | 2021-08-12 | 2021-09-24 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-08-12 | 2021-09-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-08-12 | 2021-09-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-08-12 | 2021-09-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-12 | 2021-09-24 | N |
| Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2021-08-12 | 2021-09-24 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-08-12 | 2021-09-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-12 | 2021-09-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-12 | 2021-09-24 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-30 | 2021-08-23 | 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 | 2021-07-30 | 2021-08-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-30 | 2021-08-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-30 | 2021-08-23 | 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 | 2021-07-30 | 2021-08-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-07-30 | 2021-08-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-07-30 | 2021-08-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-07-30 | 2021-08-23 | N |
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