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Deficiency Records for Plaza Community Living Center
A list of the most recent deficiencies for Plaza Community Living 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 Plaza Community Living 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? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-23 | 2023-06-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-25 | 2023-06-20 | 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 | 2023-05-25 | 2023-06-20 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-05-25 | 2023-06-20 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-05-25 | 2023-06-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-25 | 2023-06-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-25 | 2023-06-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-25 | 2023-06-20 | 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 | 2023-05-25 | 2023-06-20 | N |
| Post nurse staffing information every day. | Health | 2023-05-25 | 2023-06-20 | 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 | 2023-05-25 | 2023-06-20 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-05-25 | 2023-06-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-02-26 | 2021-03-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-02-26 | 2021-03-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-02-26 | 2021-03-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-26 | 2021-03-26 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-02-23 | 2021-03-22 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2019-05-23 | 2019-07-15 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-05-23 | 2019-07-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-05-23 | 2019-07-15 | 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 | 2019-05-23 | 2019-07-15 | N |
| Respond appropriately to all alleged violations. | Health | 2019-05-23 | 2019-07-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-23 | 2019-07-15 | N |
| Provide activities to meet all resident's needs. | Health | 2019-05-23 | 2019-07-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-23 | 2019-07-15 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-05-23 | 2019-07-15 | 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 | 2019-05-23 | 2019-07-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-23 | 2019-07-15 | 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 | 2019-05-23 | 2019-07-15 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-05-23 | 2019-07-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-05-23 | 2019-07-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-23 | 2019-07-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-23 | 2019-07-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-05-23 | 2019-07-15 | N |
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