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Deficiency Records for Andrew Residence
A list of the most recent deficiencies for Andrew Residence. 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 Andrew Residence. 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? |
|---|---|---|---|---|
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-07-31 | 2024-09-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-31 | 2024-09-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-07-31 | 2024-09-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-31 | 2024-09-30 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-08-01 | 2024-09-15 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-08-01 | 2024-09-15 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-07-31 | 2024-09-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-31 | 2024-09-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-07-31 | 2024-08-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-31 | 2024-08-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-31 | 2024-08-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-31 | 2024-08-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-31 | 2024-08-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-07-31 | 2024-08-14 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-08-02 | 2023-11-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-03 | 2023-09-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-03 | 2023-09-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-03 | 2023-09-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-03 | 2023-09-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-03 | 2023-09-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-02 | 2023-09-09 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-08-03 | 2023-09-01 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-08-02 | 2023-08-30 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-08-03 | 2023-08-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-02 | 2023-08-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-03 | 2023-08-03 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-10-07 | 2021-11-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-07 | 2021-11-11 | N |
| Respond appropriately to all alleged violations. | Health | 2021-10-07 | 2021-11-11 | N |
| Provide activities to meet all resident's needs. | Health | 2021-10-07 | 2021-11-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-07 | 2021-11-11 | N |
| Provide or obtain dental services for each resident. | Health | 2021-10-07 | 2021-11-11 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-10-07 | 2021-11-11 | N |
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