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Deficiency Records for Pole Creek Estates
A list of the most recent deficiencies for Pole Creek Estates. 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 Pole Creek Estates. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-29 | 2024-07-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-29 | 2024-07-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-05-29 | 2024-07-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-05-29 | 2024-07-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-29 | 2024-07-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-29 | 2024-07-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-21 | 2024-07-13 | 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 | 2023-04-19 | 2023-06-03 | Y |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-04-19 | 2023-06-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-02-17 | 2022-04-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-02-17 | 2022-04-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-02-17 | 2022-04-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-17 | 2022-04-03 | N |
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