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Deficiency Records for Eliza at Chagrin Falls
A list of the most recent deficiencies for Eliza at Chagrin Falls. 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 Eliza at Chagrin Falls. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-14 | 2023-12-21 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-06-01 | 2023-06-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-01 | 2023-06-23 | 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 | 2023-06-01 | 2023-06-23 | 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 | 2023-06-01 | 2023-06-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-01 | 2023-06-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-30 | 2023-06-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-30 | 2023-06-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-30 | 2023-06-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-30 | 2023-06-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-30 | 2023-06-23 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-05-30 | 2023-06-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-05-30 | 2023-06-23 | N |
| Post nurse staffing information every day. | Health | 2023-06-01 | 2023-06-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-29 | 2021-05-28 | 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 | 2021-04-29 | 2021-05-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-29 | 2021-05-28 | 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 | 2021-05-04 | 2021-05-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-04 | 2021-05-28 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-03-28 | 2019-05-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-28 | 2019-05-10 | N |
| Respond appropriately to all alleged violations. | Health | 2019-03-28 | 2019-05-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-03-28 | 2019-05-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-28 | 2019-05-10 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-03-28 | 2019-05-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-03-25 | 2019-05-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-25 | 2019-05-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-25 | 2019-05-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-25 | 2019-05-10 | N |
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