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Deficiency Records for Penfield Place

A list of the most recent deficiencies for Penfield Place. 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 Penfield Place. 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?
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-05-10 2023-07-07 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-05-10 2023-07-07 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-05-10 2023-07-07 N
Ensure medication error rates are not 5 percent or greater. Health 2023-05-10 2023-07-07 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-05-10 2023-07-07 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-05-10 2023-07-07 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-05-10 2023-07-07 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-05-10 2023-07-07 N
Establish staff and initial training requirements. Fire Safety 2022-02-10 2022-04-08 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-02-10 2022-04-08 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 2022-02-10 2022-04-08 N
Provide properly protected cooking facilities. Fire Safety 2022-02-10 2022-04-08 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-02-10 2022-04-08 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-02-10 2022-04-08 N
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. Fire Safety 2022-02-10 2022-04-08 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-02-10 2022-04-08 N
Respond appropriately to all alleged violations. Health 2022-02-10 2022-03-31 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-02-10 2022-03-31 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-02-10 2022-03-31 Y
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2019-09-30 2019-11-20 N

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