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Deficiency Records for Ch Rehab and Nurs Cnt - Commons Dearborn
A list of the most recent deficiencies for Ch Rehab and Nurs Cnt - Commons Dearborn. 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 Ch Rehab and Nurs Cnt - Commons Dearborn. 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? |
---|---|---|---|---|
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-02-27 | 2024-04-29 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-02-27 | 2024-04-29 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2024-02-27 | 2024-04-29 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-27 | 2024-04-06 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-27 | 2024-04-05 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-27 | 2024-04-05 | N |
Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-02-27 | 2024-04-05 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-27 | 2024-04-05 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-27 | 2024-04-05 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-29 | 2024-03-26 | 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 | 2024-02-29 | 2024-03-26 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-29 | 2024-03-26 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-29 | 2024-03-26 | N |
Provide and implement an infection prevention and control program. | Health | 2024-02-29 | 2024-03-26 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-02-29 | 2024-03-26 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-02-29 | 2024-03-26 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-12-14 | 2023-03-13 | N |
Establish policies and procedures for sheltering. | Fire Safety | 2022-12-14 | 2023-02-17 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-12-14 | 2023-02-17 | N |
Conduct testing and exercise requirements. | Fire Safety | 2022-12-14 | 2023-02-17 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-14 | 2023-02-17 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2022-12-14 | 2023-02-17 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-14 | 2023-02-17 | N |
Have restrictions on the use of portable space heaters. | Fire Safety | 2022-12-14 | 2023-02-17 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-09-16 | 2021-10-19 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-16 | 2021-10-19 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-16 | 2021-10-19 | 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 | 2021-09-16 | 2021-10-19 | 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 | 2021-09-16 | 2021-10-19 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-09-14 | 2021-10-08 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2021-09-14 | 2021-10-08 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-09-14 | 2021-10-08 | 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 | 2021-09-14 | 2021-10-08 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-14 | 2021-10-08 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-09-14 | 2021-10-08 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2021-09-14 | 2021-10-08 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-09-14 | 2021-10-08 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2021-09-14 | 2021-10-08 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-14 | 2021-10-08 | N |
Have power receptacles that are properly grounded. | Fire Safety | 2021-09-14 | 2021-10-08 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-14 | 2021-10-08 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-14 | 2021-10-08 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-09-14 | 2021-10-08 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-14 | 2021-10-08 | N |
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