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Deficiency Records for Risen Son Christian Village

A list of the most recent deficiencies for Risen Son Christian Village. 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 Risen Son Christian Village. 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?
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-01-10 2024-02-07 Y
Respond appropriately to all alleged violations. Health 2024-01-10 2024-02-07 Y
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 2024-01-10 2024-02-07 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-01-11 2024-02-02 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-01-11 2024-02-01 N
List the names and contact information of those in the facility. Fire Safety 2024-01-11 2024-02-01 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2024-01-11 2024-02-01 N
Have proper medical gas storage and administration areas. Fire Safety 2024-01-11 2024-02-01 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-01-11 2024-01-27 N
Establish roles under a Waiver declared by secretary. Fire Safety 2024-01-11 2024-01-11 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-01-11 2024-01-11 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-01-26 2023-01-26 Y
Reasonably accommodate the needs and preferences of each resident. Health 2022-11-02 2022-12-10 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2022-11-02 2022-12-10 N
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 2022-11-02 2022-12-10 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 2022-11-02 2022-12-10 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-11-02 2022-12-10 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-11-02 2022-12-10 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2022-11-02 2022-12-10 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 2022-11-02 2022-12-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-11-02 2022-12-10 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-11-02 2022-12-10 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-11-02 2022-12-10 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-11-02 2022-12-10 Y
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-10-21 2022-11-20 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-10-21 2022-11-11 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2022-10-21 2022-11-02 N
Provide a written emergency evacuation plan. Fire Safety 2022-10-21 2022-11-02 N
Use approved construction type or materials. Fire Safety 2022-10-21 2022-11-01 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-10-21 2022-11-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-10-21 2022-11-01 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-10-21 2022-11-01 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-10-21 2022-11-01 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-10-21 2022-10-21 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 2022-06-23 2022-09-21 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-06-23 2022-09-21 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-06-23 2022-07-26 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-06-23 2022-07-26 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-06-23 2022-07-26 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-06-23 2022-07-26 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-06-23 2022-07-26 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-06-23 2022-07-26 Y
Provide enough food/fluids to maintain a resident's health. Health 2022-06-23 2022-07-26 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 2022-06-23 2022-07-26 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-04-21 2021-06-01 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 2021-04-21 2021-06-01 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-04-21 2021-06-01 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-04-21 2021-06-01 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-04-21 2021-06-01 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-04-21 2021-06-01 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-04-21 2021-06-01 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2021-04-21 2021-06-01 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2021-04-21 2021-06-01 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2021-04-21 2021-06-01 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 2021-04-21 2021-06-01 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2021-04-21 2021-06-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-04-21 2021-06-01 N
Provide and implement an infection prevention and control program. Health 2021-04-21 2021-06-01 N
Use approved construction type or materials. Fire Safety 2021-04-19 2021-05-19 N
Install resident room doors of proper design and width. Fire Safety 2021-04-19 2021-05-19 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2021-04-19 2021-05-19 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 2021-04-19 2021-05-19 N
Provide a written emergency evacuation plan. Fire Safety 2021-04-19 2021-05-19 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-04-19 2021-05-19 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2021-04-19 2021-05-19 N
Have proper medical gas storage and administration areas. Fire Safety 2021-04-19 2021-05-19 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-04-19 2021-05-12 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-04-19 2021-05-12 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-04-19 2021-05-12 N

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