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Deficiency Records for Pender Memorial Hosp Snf
A list of the most recent deficiencies for Pender Memorial Hosp Snf. 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 Pender Memorial Hosp Snf. 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? |
|---|---|---|---|---|
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-05-06 | 2024-05-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-06 | 2024-05-30 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-05-06 | 2024-05-30 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-05-06 | 2024-05-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-06 | 2024-05-28 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-05-06 | 2024-05-28 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-03-22 | 2023-04-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-22 | 2023-04-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-22 | 2023-04-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-22 | 2023-04-25 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-02-17 | 2023-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-17 | 2023-03-01 | 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 | 2023-02-17 | 2023-03-01 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-12-10 | 2021-12-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-16 | 2019-07-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-16 | 2019-07-23 | N |
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