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Deficiency Records for Church Home of The Protestant Episcopal Church

A list of the most recent deficiencies for Church Home of The Protestant Episcopal Church. 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 Church Home of The Protestant Episcopal Church. 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 policies and procedures to prevent abuse, neglect, and theft. Health 2024-01-09 2024-03-08 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-01-09 2024-03-08 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-01-09 2024-03-08 Y
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2024-01-09 2024-03-08 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-01-09 2024-03-08 Y
Provide properly protected cooking facilities. Fire Safety 2024-01-09 2024-03-08 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-01-09 2024-03-08 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-01-09 2024-03-08 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2022-03-11 2022-05-05 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 2022-03-11 2022-05-05 N
Respond appropriately to all alleged violations. Health 2022-03-11 2022-05-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-03-11 2022-05-05 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-03-11 2022-05-05 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-03-11 2022-05-05 N
Respond appropriately to all alleged violations. Health 2019-10-08 2019-12-01 N
Assess the resident when there is a significant change in condition Health 2019-10-08 2019-12-01 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 2019-10-08 2019-12-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-10-08 2019-12-01 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-10-08 2019-12-01 N
Have proper medical gas storage and administration areas. Fire Safety 2019-10-08 2019-12-01 N

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