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Deficiency Records for Mt Pleasant Healthcare and Rehabilitation
A list of the most recent deficiencies for Mt Pleasant Healthcare and Rehabilitation. 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 Mt Pleasant Healthcare and Rehabilitation. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-20 | 2023-10-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-20 | 2023-10-09 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-12-18 | 2020-01-31 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-12-16 | 2020-01-31 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-12-16 | 2020-01-31 | 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 | 2019-12-16 | 2020-01-31 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-12-16 | 2020-01-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-16 | 2020-01-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-16 | 2020-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-16 | 2020-01-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-16 | 2020-01-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-16 | 2020-01-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-02-11 | 2019-05-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-11 | 2019-05-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-02-11 | 2019-05-11 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-02-11 | 2019-05-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-02-11 | 2019-04-25 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-02-11 | 2019-03-28 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-02-11 | 2019-03-28 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-02-11 | 2019-03-28 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-02-11 | 2019-03-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-11 | 2019-03-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-02-11 | 2019-03-28 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2019-02-11 | 2019-03-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-11 | 2019-03-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-02-11 | 2019-03-18 | 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 | 2019-02-11 | 2019-02-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-28 | 2018-04-27 | N |
| Develop a communication plan. | Fire Safety | 2018-03-26 | 2018-04-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-03-26 | 2018-04-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-26 | 2018-04-25 | 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 | 2018-03-26 | 2018-04-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-03-26 | 2018-04-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-03-26 | 2018-04-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-03-26 | 2018-04-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-03-26 | 2018-04-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-03-26 | 2018-04-20 | N |
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