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Deficiency Records for Seneca Place
A list of the most recent deficiencies for Seneca Place. 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 Seneca Place. 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 | 2024-02-06 | 2024-03-15 | 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 | 2024-02-06 | 2024-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-06 | 2024-03-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-06 | 2024-03-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-06 | 2024-03-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-02-06 | 2024-03-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-06 | 2024-03-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-02-06 | 2024-03-15 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-02-06 | 2024-03-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-02-06 | 2024-03-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-06 | 2024-03-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-06 | 2024-03-15 | 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 | 2024-02-09 | 2024-03-11 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-02-09 | 2024-03-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-09 | 2024-03-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-09 | 2024-03-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-02-09 | 2024-03-11 | 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 | 2024-02-09 | 2024-03-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-09 | 2024-03-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-03 | 2021-05-10 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-04-03 | 2021-05-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-04-03 | 2021-05-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-04-03 | 2021-05-10 | 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 | 2021-04-03 | 2021-05-10 | 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 | 2021-04-03 | 2021-05-10 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2021-04-03 | 2021-05-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-03 | 2021-05-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-04-03 | 2021-05-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-03 | 2021-05-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-03 | 2021-05-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-03 | 2021-05-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-04-03 | 2021-05-10 | 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 | 2021-04-03 | 2021-05-10 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2021-04-03 | 2021-05-10 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-04-03 | 2021-05-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-03 | 2021-05-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-03 | 2021-05-10 | 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 | 2021-04-03 | 2021-05-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-03 | 2021-05-10 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-04-03 | 2021-05-10 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2021-04-03 | 2021-05-10 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2021-04-03 | 2021-05-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-03 | 2021-05-10 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-03-15 | 2021-05-10 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-03-15 | 2021-05-10 | 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 | 2021-03-15 | 2021-05-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-03-15 | 2021-05-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-15 | 2021-05-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-03-15 | 2021-05-10 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-03-15 | 2021-05-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-03-15 | 2021-05-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-03-15 | 2021-05-10 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-03-15 | 2021-05-10 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-03-15 | 2021-05-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-03-15 | 2021-05-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-24 | 2019-07-22 | 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 | 2019-05-24 | 2019-07-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-24 | 2019-07-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-24 | 2019-07-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-24 | 2019-07-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-24 | 2019-07-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-24 | 2019-07-22 | 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 | 2019-05-23 | 2019-07-22 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-05-23 | 2019-07-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-23 | 2019-07-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-05-23 | 2019-07-22 | N |
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