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Deficiency Records for A Holly Patterson Extended Care Facility
A list of the most recent deficiencies for A Holly Patterson Extended Care Facility. 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 A Holly Patterson Extended Care Facility. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-02 | 2024-06-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-02 | 2024-06-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-02 | 2024-05-25 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-04-02 | 2024-05-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-02 | 2024-05-24 | N |
| Use approved construction type or materials. | Fire Safety | 2024-04-02 | 2024-05-24 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-04-02 | 2024-05-24 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-04-02 | 2024-05-24 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2024-04-02 | 2024-05-24 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-04-02 | 2024-05-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-02 | 2024-05-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-02 | 2024-04-22 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-04-02 | 2024-04-22 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-03-09 | 2022-06-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-09 | 2022-05-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-09 | 2022-04-29 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-03-09 | 2022-04-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-09 | 2022-04-29 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-03-09 | 2022-04-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-09 | 2022-04-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-03-09 | 2022-04-29 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-03-09 | 2022-04-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-09 | 2022-04-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-09 | 2022-04-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-24 | 2022-02-28 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-10-17 | 2019-12-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-10-17 | 2019-12-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-17 | 2019-12-13 | 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 | 2019-10-17 | 2019-12-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-22 | Not Fixed | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-04-02 | Not Fixed | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-04-02 | Not Fixed | N |
| Have proper power supply for life support equipment. | Fire Safety | 2019-10-17 | Not Fixed | N |
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