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Deficiency Records for Northfield Village Retirement Community
A list of the most recent deficiencies for Northfield Village Retirement Community. 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 Northfield Village Retirement Community. 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? |
|---|---|---|---|---|
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-03-13 | 2024-04-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-13 | 2024-04-02 | 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 | 2024-03-13 | 2024-04-02 | N |
| Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2024-03-13 | 2024-04-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-13 | 2024-04-02 | 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 | 2024-03-11 | 2024-04-02 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-03-11 | 2024-04-02 | 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 | 2024-03-11 | 2024-04-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-11 | 2024-04-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-03-11 | 2024-04-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-11 | 2024-04-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-21 | 2024-03-13 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-11-16 | 2023-12-08 | Y |
| 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 | 2022-02-17 | 2022-04-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-02-17 | 2022-04-06 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-02-17 | 2022-04-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-17 | 2022-04-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-17 | 2022-04-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-17 | 2022-04-06 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-02-17 | 2022-04-06 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-02-15 | 2022-04-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-15 | 2022-04-06 | 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 | 2022-02-15 | 2022-04-06 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-02-15 | 2022-04-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-02-15 | 2022-04-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-02-15 | 2022-04-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-15 | 2022-04-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-02-15 | 2022-04-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-15 | 2022-04-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-02-15 | 2022-04-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-15 | 2022-04-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-02-15 | 2022-04-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-02-15 | 2022-04-06 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-02-15 | 2022-04-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-02-15 | 2022-04-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-15 | 2022-04-06 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-02-15 | 2022-04-06 | 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 | 2019-07-11 | 2019-08-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-07-11 | 2019-08-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-11 | 2019-08-24 | 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 | 2019-07-09 | 2019-08-24 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-07-09 | 2019-08-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-07-09 | 2019-08-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-09 | 2019-08-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-09 | 2019-08-24 | N |
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