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Deficiency Records for The Plaza Health Services at Santa Marta

A list of the most recent deficiencies for The Plaza Health Services at Santa Marta. 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 Plaza Health Services at Santa Marta. 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?
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 2024-09-17 2024-10-21 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-09-17 2024-10-21 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-09-17 2024-10-21 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-09-17 2024-10-21 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-09-17 2024-10-21 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-09-17 2024-10-21 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-09-17 2024-10-21 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-09-17 2024-10-21 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-09-17 2024-10-21 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-09-17 2024-10-21 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-09-17 2024-10-21 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-07-31 2024-08-23 Y
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-07-31 2024-08-23 Y
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 2024-07-31 2024-08-23 Y
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. Health 2024-07-31 2024-08-23 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-07-31 2024-08-23 Y
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 2024-07-31 2024-08-23 Y
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2024-07-31 2024-08-23 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-07-31 2024-08-23 Y
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 Y
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 2024-07-31 2024-08-23 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-07-31 2024-08-23 Y
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2024-07-31 2024-08-23 Y
Provide and implement an infection prevention and control program. Health 2024-07-31 2024-08-23 Y
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-07-31 2024-08-23 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2022-12-14 2023-01-25 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2022-12-14 2023-01-25 N
Address patient/client population and determine types of services needed. Fire Safety 2022-12-14 2023-01-25 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2022-12-14 2023-01-25 N
Address subsistence needs for staff and patients. Fire Safety 2022-12-14 2023-01-25 N
Establish policies and procedures including evacuation. Fire Safety 2022-12-14 2023-01-25 N
Establish policies and procedures for volunteers. Fire Safety 2022-12-14 2023-01-25 N
Create arrangements with other facilities to receive patients. Fire Safety 2022-12-14 2023-01-25 N
Establish emergency prep training and testing. Fire Safety 2022-12-14 2023-01-25 N
Establish staff and initial training requirements. Fire Safety 2022-12-14 2023-01-25 N
Conduct testing and exercise requirements. Fire Safety 2022-12-14 2023-01-25 N
Implement emergency and standby power systems. Fire Safety 2022-12-14 2023-01-25 N
Meet requirements for sections of health care facilities separated by fire resistive construction. Fire Safety 2022-12-14 2023-01-25 N
Use approved construction type or materials. Fire Safety 2022-12-14 2023-01-25 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-12-14 2023-01-25 N
Have properly located and lighted "Exit" signs. Fire Safety 2022-12-14 2023-01-25 N
Provide properly protected cooking facilities. Fire Safety 2022-12-14 2023-01-25 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-12-14 2023-01-25 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2022-12-14 2023-01-25 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-12-14 2023-01-25 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2022-12-14 2023-01-25 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-12-14 2023-01-25 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-12-14 2023-01-25 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-12-14 2023-01-25 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-12-14 2023-01-25 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-12-14 2023-01-25 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-12-14 2023-01-25 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-12-14 2023-01-25 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2022-12-14 2023-01-25 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-12-14 2023-01-25 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-12-14 2023-01-25 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-10-24 2022-11-24 Y
Conduct risk assessment and an All-Hazards approach. Fire Safety 2021-07-13 2021-09-01 N
Address subsistence needs for staff and patients. Fire Safety 2021-07-13 2021-09-01 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2021-07-13 2021-09-01 N
Establish policies and procedures for volunteers. Fire Safety 2021-07-13 2021-09-01 N
Establish roles under a Waiver declared by secretary. Fire Safety 2021-07-13 2021-09-01 N
Establish methods for sharing information. Fire Safety 2021-07-13 2021-09-01 N
Conduct testing and exercise requirements. Fire Safety 2021-07-13 2021-09-01 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-07-13 2021-09-01 N
Provide properly protected cooking facilities. Fire Safety 2021-07-13 2021-09-01 N
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Fire Safety 2021-07-13 2021-09-01 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-07-13 2021-09-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-07-13 2021-09-01 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-07-13 2021-09-01 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-07-13 2021-09-01 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-07-13 2021-09-01 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-07-13 2021-09-01 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2021-07-13 2021-09-01 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-07-13 2021-09-01 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-07-13 2021-09-01 N
Have proper medical gas storage and administration areas. Fire Safety 2021-07-13 2021-09-01 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2021-07-13 2021-09-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-06-21 2021-07-21 N
Provide and implement an infection prevention and control program. Health 2021-06-21 2021-07-21 N

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