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Deficiency Records for De La Salle Hall

A list of the most recent deficiencies for De La Salle Hall. 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 De La Salle Hall. 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?
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-01-08 2024-02-16 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-01-08 2024-02-14 N
Provide and implement an infection prevention and control program. Health 2024-01-08 2024-02-08 N
Install an approved automatic sprinkler system. Fire Safety 2024-01-08 2024-01-31 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-01-08 2024-01-31 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-08-20 2021-10-20 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 2021-08-20 2021-10-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-08-20 2021-10-20 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2021-08-20 2021-10-20 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2021-08-20 2021-10-20 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-08-20 2021-10-20 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2021-08-20 2021-10-20 N

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