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Deficiency Records for Norwood Towers Post-Acute
A list of the most recent deficiencies for Norwood Towers Post-Acute. 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 Norwood Towers Post-Acute. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-06-26 | 2024-08-05 | 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 | 2024-06-26 | 2024-08-05 | 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 | 2024-06-26 | 2024-08-05 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-06-26 | 2024-08-05 | 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 | 2024-06-26 | 2024-08-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-26 | 2024-08-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-26 | 2024-08-05 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-06-26 | 2024-08-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-26 | 2024-08-05 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-06-26 | 2024-08-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-26 | 2024-08-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-06-26 | 2024-08-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-06-26 | 2024-08-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-06-26 | 2024-08-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-06-26 | 2024-08-05 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-06-26 | 2024-08-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-06-26 | 2024-08-05 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-06-26 | 2024-08-05 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-06-26 | 2024-08-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-26 | 2024-08-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-27 | 2024-07-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-27 | 2024-07-12 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-06-27 | 2024-07-12 | 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 | 2024-06-27 | 2024-07-12 | 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 | 2023-05-25 | 2023-06-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-13 | 2023-01-10 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-06-30 | 2022-07-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-30 | 2022-07-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-30 | 2022-07-15 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-06-30 | 2022-07-15 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-30 | 2022-07-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-30 | 2022-07-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-06 | 2022-05-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-06 | 2022-05-19 | Y |
| 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 | 2022-05-02 | 2022-05-19 | Y |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-05-02 | 2022-05-19 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-04-10 | 2022-04-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-06 | 2022-02-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-27 | 2021-12-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-27 | 2021-12-10 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-27 | 2021-12-10 | Y |
| 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 | 2021-05-26 | 2021-08-24 | 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 | 2021-05-26 | 2021-08-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-26 | 2021-08-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-05-26 | 2021-08-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-05-26 | 2021-08-24 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-05-27 | 2021-08-17 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2021-05-27 | 2021-08-17 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-05-27 | 2021-08-17 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-05-27 | 2021-08-17 | 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 | 2021-05-27 | 2021-08-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-27 | 2021-08-17 | 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 | 2021-05-27 | 2021-08-17 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-05-27 | 2021-08-17 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-05-27 | 2021-08-17 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-05-27 | 2021-08-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-27 | 2021-08-17 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-05-26 | 2021-08-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-26 | 2021-08-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-26 | 2021-08-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-26 | 2021-08-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-26 | 2021-08-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-05-26 | 2021-08-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-26 | 2021-08-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-26 | 2021-08-17 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-03-07 | 2019-04-21 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-03-07 | 2019-04-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-03-07 | 2019-04-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-07 | 2019-04-21 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-03-07 | 2019-04-21 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-03-07 | 2019-04-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-07 | 2019-04-21 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-03-07 | 2019-04-21 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-03-07 | 2019-04-21 | 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 | 2019-03-07 | 2019-04-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-03-07 | 2019-04-21 | 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 | 2019-03-07 | 2019-04-21 | N |
| Provide or obtain dental services for each resident. | Health | 2019-03-07 | 2019-04-21 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-03-07 | 2019-04-21 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-03-07 | 2019-04-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-03-07 | 2019-04-21 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-03-06 | 2019-04-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-03-06 | 2019-04-21 | N |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2019-03-06 | 2019-04-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-06 | 2019-04-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-06 | 2019-04-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-03-06 | 2019-04-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-03-06 | 2019-04-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-03-06 | 2019-04-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-06 | 2019-04-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-06 | 2019-04-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-03-06 | 2019-04-21 | N |
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