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Deficiency Records for 24th Place

A list of the most recent deficiencies for 24th Place. 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 24th Place. 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?
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2024-06-18 2024-07-07 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2024-06-18 2024-07-07 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-06-18 2024-07-07 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2024-05-09 2024-06-21 Y
Ensure each resident receives an accurate assessment. Health 2024-05-09 2024-06-21 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-05-09 2024-06-21 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 2024-05-09 2024-06-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-05-09 2024-06-21 N
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Health 2024-05-09 2024-06-21 N
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2024-05-09 2024-06-21 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-11-07 2023-12-20 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-11-07 2023-12-20 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 2023-11-07 2023-12-20 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-11-07 2023-12-20 Y
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2023-03-15 2023-05-15 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-03-15 2023-05-15 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-03-15 2023-05-15 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 2023-03-15 2023-05-15 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 2023-03-15 2023-05-15 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-03-15 2023-05-15 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-03-15 2023-05-15 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-03-15 2023-05-15 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-15 2023-05-15 Y
Reasonably accommodate the needs and preferences of each resident. Health 2021-12-20 2022-02-15 N
Ensure residents have reasonable access to and privacy in their use of communication methods. Health 2021-12-20 2022-02-15 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2021-12-20 2022-02-15 N
Keep residents' personal and medical records private and confidential. Health 2021-12-20 2022-02-15 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2021-12-20 2022-02-15 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2021-12-20 2022-02-15 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2021-12-20 2022-02-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-12-20 2022-02-15 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2021-12-20 2022-02-15 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 2021-12-20 2022-02-15 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2021-12-20 2022-02-15 N
Report COVID19 data to residents and families. Health 2021-12-20 2022-02-15 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2021-12-20 2022-02-15 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 2021-12-20 2022-02-15 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2021-12-20 2022-02-15 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-12-20 2022-02-15 Y
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2021-12-20 2022-02-15 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-12-20 2022-02-15 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-12-20 2022-02-15 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-12-20 2022-02-15 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2021-12-20 2022-02-15 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-12-20 2022-02-15 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2021-12-20 2022-02-15 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-12-20 2022-02-15 Y
Provide and implement an infection prevention and control program. Health 2021-12-20 2022-02-15 Y
Keep all essential equipment working safely. Health 2021-12-20 2022-02-15 Y
Provide properly protected cooking facilities. Fire Safety 2021-12-14 2022-02-15 N
Have an alternate power supply for its alarm system. Fire Safety 2021-12-14 2022-02-15 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-12-14 2022-02-15 N

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