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Deficiency Records for Pecan Creek Healthcare Center

A list of the most recent deficiencies for Pecan Creek Healthcare Center. 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 Pecan Creek Healthcare Center. 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?
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-05-17 2023-06-20 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-05-17 2023-06-20 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-05-17 2023-06-20 N
Install an approved automatic sprinkler system. Fire Safety 2023-05-17 2023-06-20 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-05-17 2023-06-20 N
Provide enough food/fluids to maintain a resident's health. Health 2023-01-30 2023-03-02 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 2023-01-30 2023-03-02 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-12-19 2023-01-16 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2022-05-11 2022-06-20 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-03-09 2022-03-10 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-03-09 2022-03-10 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-03-09 2022-03-10 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-03-09 2022-03-10 N
Provide and implement an infection prevention and control program. Health 2021-11-10 2021-11-29 N
Implement a program that monitors antibiotic use. Health 2021-11-10 2021-11-29 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2021-11-10 2021-11-16 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2021-11-10 2021-11-16 N
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 2021-11-10 2021-11-16 N
Provide activities to meet all resident's needs. Health 2021-11-10 2021-11-16 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2021-11-10 2021-11-12 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2021-11-10 2021-11-12 N
Keep all essential equipment working safely. Health 2021-11-10 2021-11-12 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-11-20 2019-12-20 N
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 2019-11-20 2019-12-20 N
Ensure medication error rates are not 5 percent or greater. Health 2019-11-20 2019-12-20 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2019-11-20 2019-12-20 N
Provide and implement an infection prevention and control program. Health 2019-11-20 2019-12-20 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2019-11-20 2019-12-20 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2019-11-22 Not Fixed N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2019-11-22 Not Fixed N

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