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Deficiency Records for Raleigh Center
A list of the most recent deficiencies for Raleigh 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 Raleigh 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? |
|---|---|---|---|---|
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-08-27 | 2024-10-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-27 | 2024-10-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-08-27 | 2024-10-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-08-27 | 2024-10-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-27 | 2024-10-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-08-27 | 2024-10-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-27 | 2024-10-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-27 | 2024-10-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-08-27 | 2024-10-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-27 | 2024-10-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-08-27 | 2024-10-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-29 | 2024-10-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-08-29 | 2024-10-03 | 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 | 2024-08-29 | 2024-10-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-29 | 2024-10-03 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-08-29 | 2024-10-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-29 | 2024-10-03 | N |
| Respond appropriately to all alleged violations. | Health | 2024-08-29 | 2024-10-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-29 | 2024-10-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-29 | 2024-10-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-29 | 2024-10-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-29 | 2024-10-03 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-08-29 | 2024-10-03 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-08-29 | 2024-10-03 | 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 | 2024-08-29 | 2024-10-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-29 | 2024-10-03 | N |
| Dispose of garbage and refuse properly. | Health | 2024-08-29 | 2024-10-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-29 | 2024-10-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-08 | 2023-03-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-08 | 2023-03-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-08 | 2023-03-27 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-03-08 | 2023-03-27 | 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 | 2023-03-08 | 2023-03-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-08 | 2023-03-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-08 | 2023-03-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-08 | 2023-03-27 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-06 | 2023-03-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-09 | 2022-03-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-09 | 2022-03-30 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-12-08 | 2022-01-25 | N |
| Provide activities to meet all resident's needs. | Health | 2021-12-08 | 2022-01-25 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-12-08 | 2022-01-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-08 | 2022-01-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-08 | 2022-01-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-08 | 2022-01-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-08 | 2022-01-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-12-08 | 2022-01-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-12-08 | 2022-01-25 | 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 | 2021-12-08 | 2022-01-25 | Y |
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