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Deficiency Records for Citizens Care Center
A list of the most recent deficiencies for Citizens Care Center. 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 Citizens Care Center. 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 | 2024-05-22 | 2024-07-08 | 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 | 2024-05-22 | 2024-07-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-05-22 | 2024-07-08 | 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 | 2024-05-22 | 2024-07-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-22 | 2024-07-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-22 | 2024-07-08 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-05-22 | 2024-07-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-22 | 2024-07-08 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-05-22 | 2024-07-08 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2024-05-22 | 2024-07-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-22 | 2024-07-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-22 | 2024-07-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-05-22 | 2024-07-08 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-05-22 | 2024-07-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-22 | 2024-07-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-22 | 2024-07-08 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-05-07 | 2024-06-21 | 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 | 2024-05-07 | 2024-06-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-07 | 2024-06-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-07 | 2024-06-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-07 | 2024-06-21 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-05-07 | 2024-06-21 | 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 | 2024-05-07 | 2024-06-21 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-05-07 | 2024-06-21 | 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 | 2024-05-07 | 2024-06-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-07 | 2024-06-21 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-05-07 | 2024-06-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-07 | 2024-06-21 | Y |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2019-06-18 | 2019-08-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-18 | 2019-08-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-02 | 2019-06-16 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-05-02 | 2019-06-16 | 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 | 2019-05-02 | 2019-06-16 | 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 | 2019-05-02 | 2019-06-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-02 | 2019-06-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-02 | 2019-06-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-02 | 2019-06-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-05-02 | 2019-06-16 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-05-02 | 2019-06-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-05-02 | 2019-06-16 | N |
| Provide or obtain dental services for each resident. | Health | 2019-05-02 | 2019-06-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-02 | 2019-06-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-03-07 | 2018-04-24 | 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 | 2018-03-07 | 2018-04-24 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-03-07 | 2018-04-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-03-07 | 2018-04-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-03-07 | 2018-04-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-07 | 2018-04-24 | 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 | 2018-03-07 | 2018-04-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-07 | 2018-04-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-07 | 2018-04-24 | 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 | 2018-03-07 | 2018-04-24 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-03-07 | 2018-04-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-07 | 2018-04-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-07 | 2018-04-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-07 | 2018-04-24 | N |
| Keep all essential equipment working safely. | Health | 2018-03-07 | 2018-04-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-03-12 | 2018-04-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-03-12 | 2018-04-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-03-12 | 2018-04-19 | N |
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