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Deficiency Records for Via of Carlisle
A list of the most recent deficiencies for Via of Carlisle. 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 Via of Carlisle. 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 maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-09-05 | 2024-09-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-09-05 | 2024-09-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-05 | 2024-09-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-09-05 | 2024-09-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-09-05 | 2024-09-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-05 | 2024-09-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-28 | 2024-09-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-28 | 2024-09-20 | 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 | 2024-08-28 | 2024-09-20 | 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 | 2024-08-28 | 2024-09-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-28 | 2024-09-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-28 | 2024-09-20 | 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 | 2024-08-28 | 2024-09-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-08 | 2024-05-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-08 | 2024-05-31 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-05-08 | 2024-05-31 | Y |
| 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 | 2023-08-10 | 2023-08-31 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-06-15 | 2023-07-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-15 | 2023-07-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-15 | 2023-07-07 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-06-15 | 2023-07-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-06-15 | 2023-07-07 | N |
| Provide or obtain dental services for each resident. | Health | 2023-06-15 | 2023-07-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-15 | 2023-07-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-15 | 2023-07-07 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-06-15 | 2023-07-07 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-22 | 2023-06-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-22 | 2023-06-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-15 | 2023-06-29 | Y |
| Install proper backup exit lighting. | Fire Safety | 2023-06-22 | 2023-06-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-22 | 2023-06-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-22 | 2023-06-29 | 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 | 2023-06-22 | 2023-06-27 | N |
| Use approved construction type or materials. | Fire Safety | 2023-06-22 | 2023-06-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-22 | 2023-06-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-22 | 2023-06-22 | 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 | 2023-03-29 | 2023-04-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-29 | 2023-04-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-15 | 2023-03-15 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2022-12-15 | 2023-03-15 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-12-15 | 2023-03-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-15 | 2023-01-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-15 | 2023-01-19 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-12-15 | 2023-01-19 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-13 | 2022-06-06 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-04-13 | 2022-06-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-13 | 2022-06-03 | 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 | 2022-04-13 | 2022-05-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-04-13 | 2022-05-09 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-04-13 | 2022-05-09 | 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 | 2022-04-11 | 2022-05-05 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-04-11 | 2022-05-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-11 | 2022-05-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-11 | 2022-05-05 | Y |
| Report COVID19 data to residents and families. | Health | 2022-04-11 | 2022-05-05 | Y |
| 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 | 2022-04-13 | 2022-04-26 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-04-13 | 2022-04-25 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-04-13 | 2022-04-22 | N |
| Use approved construction type or materials. | Fire Safety | 2022-04-13 | 2022-04-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-13 | 2022-04-21 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-04-13 | 2022-04-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-13 | 2022-04-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-13 | 2022-04-14 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-12-20 | 2022-01-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-20 | 2022-01-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-20 | 2022-01-16 | Y |
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