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Deficiency Records for Kirby Pines Manor
A list of the most recent deficiencies for Kirby Pines Manor. 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 Kirby Pines Manor. 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 | 2024-04-01 | 2024-04-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-04-01 | 2024-04-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-01 | 2024-04-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-04-01 | 2024-04-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-04-01 | 2024-04-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-04-01 | 2024-04-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-04-01 | 2024-04-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-07-03 | 2019-07-31 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-07-03 | 2019-07-31 | 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 | 2019-07-03 | 2019-07-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-03 | 2019-07-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-03 | 2019-07-31 | N |
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