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Deficiency Records for Mount Notre Dame Health Center

A list of the most recent deficiencies for Mount Notre Dame Health 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 Mount Notre Dame Health 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?
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2024-11-13 2025-01-02 N
Ensure that residents are free from significant medication errors. Health 2024-11-13 2025-01-02 N
Provide properly protected cooking facilities. Fire Safety 2024-11-19 2025-01-02 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-11-19 2025-01-02 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2024-11-19 2025-01-02 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 2022-10-11 2022-12-02 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-10-11 2022-12-02 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-10-11 2022-12-02 N
Provide a written emergency evacuation plan. Fire Safety 2022-10-11 2022-12-02 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-10-11 2022-12-02 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-10-11 2022-12-02 N
Meet requirements for sections of health care facilities separated by fire resistive construction. Fire Safety 2019-09-03 2020-10-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-09-05 2019-10-15 N
Provide properly protected cooking facilities. Fire Safety 2019-09-03 2019-10-15 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-09-03 2019-10-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-09-03 2019-10-15 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-09-03 2019-10-15 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2019-09-03 2019-10-15 N

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