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Deficiency Records for Paoli Health and Living Community
A list of the most recent deficiencies for Paoli 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 Paoli 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-11 | 2024-06-28 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-03-12 | 2024-05-09 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-04-16 | 2024-04-29 | Y |
| Meet other general requirements. | Fire Safety | 2024-03-12 | 2024-03-21 | 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 | 2024-03-12 | 2024-03-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-03-12 | 2024-03-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-12 | 2024-03-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-12 | 2024-03-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-03-12 | 2024-03-21 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-03-12 | 2024-03-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-12 | 2024-03-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-13 | 2024-03-01 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-02-13 | 2024-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-13 | 2024-03-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-13 | 2024-03-01 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-02-13 | 2024-03-01 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2024-02-13 | 2024-03-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-13 | 2024-03-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-13 | 2024-03-01 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-04-25 | 2022-06-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-04-25 | 2022-06-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-25 | 2022-06-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-25 | 2022-06-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-25 | 2022-06-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-25 | 2022-06-01 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-04-25 | 2022-06-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-30 | 2022-04-25 | 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 | 2022-03-30 | 2022-04-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-08 | 2021-11-30 | 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 | 2021-06-01 | 2021-07-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-01 | 2021-07-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-06-01 | 2021-07-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-01 | 2021-07-08 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-05-28 | 2021-06-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-28 | 2021-06-19 | N |
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