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Deficiency Records for Peak Resources-Wilmington, Inc

A list of the most recent deficiencies for Peak Resources-Wilmington, Inc. 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 Peak Resources-Wilmington, Inc. 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 that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2024-02-15 2024-03-08 N
Provide properly protected cooking facilities. Fire Safety 2024-02-15 2024-03-08 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-02-15 2024-03-08 N
Have proper medical gas storage and administration areas. Fire Safety 2024-02-15 2024-03-08 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-02-29 2024-03-01 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-02-29 2024-03-01 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-12 2024-02-29 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-01-12 2024-02-29 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-01-12 2024-02-29 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-01-12 2024-02-29 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2024-01-12 2024-02-29 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2024-01-12 2024-02-29 N
Provide and implement an infection prevention and control program. Health 2024-01-12 2024-02-29 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-01-12 2024-02-29 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2024-01-12 2024-02-29 Y
Assist a resident in gaining access to vision and hearing services. Health 2024-01-12 2024-02-29 Y
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2024-01-12 2024-02-29 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 2024-01-12 2024-02-12 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-01-12 2024-02-12 N
Install an approved automatic sprinkler system. Fire Safety 2022-09-14 2022-11-02 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-09-14 2022-11-02 N
Meet other general requirements that are deficient. Fire Safety 2022-09-14 2022-11-02 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-04-15 2021-05-10 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-04-15 2021-05-10 N
Provide enough food/fluids to maintain a resident's health. Health 2021-04-15 2021-05-10 N
Ensure that residents are free from significant medication errors. Health 2021-04-15 2021-05-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-04-15 2021-05-10 N
Provide and implement an infection prevention and control program. Health 2021-04-15 2021-05-10 N

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