Deficiency Records for Abbotts Creek Center
Updated as of August 01, 2024
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Deficiency Records for Abbotts Creek Center
A list of the most recent deficiencies for Abbotts Creek Center. 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 Abbotts Creek Center. 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? |
---|---|---|---|---|
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 | 2024-01-11 | 2024-02-02 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-12-13 | 2024-01-10 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-13 | 2024-01-10 | 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 | 2023-12-13 | 2024-01-10 | N |
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-12-13 | 2024-01-10 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-12-13 | 2024-01-10 | N |
Meet other general requirements. | Fire Safety | 2022-08-11 | 2022-08-29 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-11 | 2022-08-29 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-11 | 2022-08-29 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-07-11 | 2022-08-01 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-07-11 | 2022-08-01 | N |
Ensure each resident receives an accurate assessment. | Health | 2022-07-11 | 2022-08-01 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-07-11 | 2022-08-01 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-11 | 2022-08-01 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-11 | 2022-08-01 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-07-11 | 2022-08-01 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-07-11 | 2022-08-01 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2022-07-11 | 2022-08-01 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-11 | 2022-08-01 | Y |
Ensure the activities program is directed by a qualified professional. | Health | 2022-04-06 | 2022-04-21 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-02-05 | 2021-02-26 | 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 | 2021-02-05 | 2021-02-26 | N |
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-02-05 | 2021-02-26 | N |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-02-05 | 2021-02-26 | N |
Provide and implement an infection prevention and control program. | Health | 2021-02-05 | 2021-02-26 | N |
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