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Deficiency Records for The Carrolton of Fayetteville
A list of the most recent deficiencies for The Carrolton of Fayetteville. 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 The Carrolton of Fayetteville. 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? |
|---|---|---|---|---|
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-07-18 | 2024-08-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-18 | 2024-08-30 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-07-18 | 2024-08-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-18 | 2024-08-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-07-18 | 2024-08-30 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-06-14 | 2024-07-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-14 | 2024-07-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-06-04 | 2024-05-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-04-25 | 2024-05-14 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-04-02 | 2024-04-01 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-04-02 | 2024-04-01 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-02-29 | 2024-04-01 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-02-29 | 2024-04-01 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-02-29 | 2024-04-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-29 | 2024-04-01 | Y |
| Use approved construction type or materials. | Fire Safety | 2018-07-12 | 2018-07-27 | 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 | 2018-07-12 | 2018-07-27 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-07-12 | 2018-07-27 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-07-03 | 2018-07-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-07-03 | 2018-07-11 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2018-07-03 | 2018-07-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-03 | 2018-07-11 | 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 | 2018-07-03 | 2018-07-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-07-03 | 2018-07-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-07-03 | 2018-07-11 | 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 | 2018-07-03 | 2018-07-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-03 | 2018-07-11 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-07-03 | 2018-07-11 | N |
| Keep all essential equipment working safely. | Health | 2018-07-03 | 2018-07-11 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-07-21 | 2017-11-05 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-07-21 | 2017-11-05 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-21 | 2017-09-27 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-21 | 2017-09-27 | N |
| Use approved construction type or materials. | Fire Safety | 2017-08-08 | 2017-09-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-08-08 | 2017-09-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-08-08 | 2017-09-20 | 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 | 2017-08-08 | 2017-09-20 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-08-08 | 2017-09-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-08-08 | 2017-09-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-08-08 | 2017-09-20 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2017-08-08 | 2017-09-20 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-21 | 2017-08-11 | N |
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