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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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