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Deficiency Records for Schervier Pavilion
A list of the most recent deficiencies for Schervier Pavilion. 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 Schervier Pavilion. 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 | 2024-10-29 | 2024-12-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-10-29 | 2024-12-20 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-10-29 | 2024-12-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-29 | 2024-12-20 | N |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2024-10-29 | 2024-12-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-29 | 2024-12-20 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-10-29 | 2024-12-20 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2024-10-30 | 2024-12-20 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-10-30 | 2024-12-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-10-30 | 2024-12-17 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-10-30 | 2024-12-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-30 | 2024-11-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-10-30 | 2024-11-26 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-11-02 | 2022-12-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-11-02 | 2022-12-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-02 | 2022-12-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-11-02 | 2022-12-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-02 | 2022-12-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-31 | 2022-11-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-31 | 2022-11-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-31 | 2022-11-23 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-10-31 | 2022-11-23 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-21 | 2019-07-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-21 | 2019-07-19 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-05-21 | 2019-07-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-21 | 2019-07-19 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-05-21 | 2019-07-19 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-05-21 | 2019-06-30 | N |
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