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Deficiency Records for Phelps Health

A list of the most recent deficiencies for Phelps Health. 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 Phelps Health. 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?
Meet requirements for sections of health care facilities separated by fire resistive construction. Fire Safety 2023-12-28 2024-02-02 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2023-12-28 2024-01-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-12-28 2024-01-18 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2023-01-19 2023-03-03 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-01-19 2023-03-01 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2019-11-26 2020-01-09 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-11-26 2019-12-18 N

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