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Deficiency Records for Carver Living Center
A list of the most recent deficiencies for Carver Living 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 Carver Living 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2024-05-01 | 2024-05-22 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-01 | 2024-05-22 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-01 | 2024-05-22 | Y |
| Meet other general requirements. | Fire Safety | 2023-12-21 | 2024-03-06 | N |
| Use approved construction type or materials. | Fire Safety | 2023-12-21 | 2024-03-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-21 | 2024-03-06 | N |
| 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 | 2023-12-21 | 2024-03-06 | 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 | 2023-12-21 | 2024-03-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-21 | 2024-03-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-21 | 2024-03-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-12-21 | 2024-03-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-21 | 2024-03-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-21 | 2024-03-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-21 | 2024-03-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-21 | 2024-03-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-12-21 | 2024-03-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-12-21 | 2024-03-06 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-12-21 | 2024-03-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-12-21 | 2024-03-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-21 | 2024-03-06 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-12-01 | 2023-12-05 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-12-01 | 2023-12-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-01 | 2023-12-05 | N |
| 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 | 2023-12-01 | 2023-12-05 | 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 | 2023-12-01 | 2023-12-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-12-01 | 2023-12-05 | 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 | 2023-12-01 | 2023-12-05 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-12-01 | 2023-12-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-01 | 2023-12-05 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-12-01 | 2023-12-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-01 | 2023-12-05 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-09-28 | 2023-10-18 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-09-28 | 2023-10-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-28 | 2023-10-18 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-09-28 | 2023-10-18 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-28 | 2023-10-18 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-09-28 | 2023-10-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-15 | 2023-06-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-04 | 2023-06-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-31 | 2023-06-15 | Y |
| 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 | 2023-03-02 | 2023-03-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-02 | 2023-03-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-03-02 | 2023-03-02 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-01 | 2022-12-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-29 | 2022-10-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-29 | 2022-10-25 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-09-29 | 2022-10-25 | 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 | 2022-09-29 | 2022-10-25 | Y |
| Dispose of garbage and refuse properly. | Health | 2022-09-29 | 2022-10-25 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-09-29 | 2022-10-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-29 | 2022-10-25 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-09-29 | 2022-10-25 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-14 | 2021-12-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-14 | 2021-12-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-12 | 2021-09-09 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-08-12 | 2021-09-09 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-08-12 | 2021-09-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-08-12 | 2021-09-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-12 | 2021-09-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-12 | 2021-09-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-12 | 2021-09-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-12 | 2021-09-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-12 | 2021-09-09 | N |
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