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Deficiency Records for Village at St Edward Nrsg Care
A list of the most recent deficiencies for Village at St Edward Nrsg Care. 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 Village at St Edward Nrsg Care. 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 | 2024-12-09 | 2025-01-20 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-12-09 | 2025-01-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-12-09 | 2025-01-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-09 | 2025-01-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-12-09 | 2025-01-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-12-09 | 2025-01-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-12-09 | 2025-01-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-12-09 | 2025-01-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-12-09 | 2025-01-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-12-12 | 2024-12-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-11-04 | 2024-11-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-04 | 2024-11-13 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-09-15 | 2023-01-30 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-09-15 | 2022-10-15 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-09-15 | 2022-10-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-15 | 2022-10-15 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-09-15 | 2022-10-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-09-15 | 2022-10-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-15 | 2022-10-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-15 | 2022-10-15 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-09-15 | 2022-10-15 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-09-15 | 2022-10-15 | N |
| Provide at least two remote exits on each floor or fire section of the building. | Fire Safety | 2022-09-15 | 2022-10-15 | 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 | 2022-09-15 | 2022-10-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-15 | 2022-10-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-15 | 2022-10-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-09-15 | 2022-10-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-15 | 2022-10-15 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-09-15 | 2022-10-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-15 | 2022-10-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-15 | 2022-10-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-09-15 | 2022-10-15 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-09-15 | 2022-10-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-15 | 2022-10-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-09-15 | 2022-10-15 | N |
| Establish methods for sharing information. | Fire Safety | 2019-09-26 | 2019-11-06 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-09-26 | 2019-11-06 | N |
| Meet other general requirements. | Fire Safety | 2019-09-26 | 2019-11-06 | 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 | 2019-09-26 | 2019-11-06 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2019-09-26 | 2019-11-06 | 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 | 2019-09-26 | 2019-11-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-26 | 2019-11-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-26 | 2019-11-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-26 | 2019-11-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-09-26 | 2019-11-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-26 | 2019-11-06 | N |
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