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Deficiency Records for Carlyle House
A list of the most recent deficiencies for Carlyle House. 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 Carlyle House. 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2024-05-01 | 2024-06-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-01 | 2024-06-10 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-05-01 | 2024-06-10 | 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 | 2024-05-01 | 2024-06-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-01 | 2024-06-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-01 | 2024-06-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-11-17 | 2022-12-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-17 | 2022-12-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-17 | 2022-12-16 | 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 | 2022-11-07 | 2022-12-06 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-11-07 | 2022-12-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-07 | 2022-12-06 | 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 | 2022-11-07 | 2022-12-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-07 | 2022-12-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-07 | 2022-12-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-23 | 2022-07-01 | 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 | 2022-05-23 | 2022-07-01 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-11-02 | 2021-12-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-11-02 | 2021-12-17 | N |
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