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Deficiency Records for Canterbury Center
A list of the most recent deficiencies for Canterbury 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 Canterbury 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? |
---|---|---|---|---|
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-03 | 2024-05-16 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-03 | 2024-05-16 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-03 | 2024-05-16 | N |
Keep residents' personal and medical records private and confidential. | Health | 2024-04-03 | 2024-05-16 | N |
Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2024-04-03 | 2024-05-16 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-04-03 | 2024-05-16 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-03 | 2024-05-16 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-04-03 | 2024-05-16 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-03 | 2024-05-16 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-03 | 2024-05-16 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-03 | 2024-05-16 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-04-03 | 2024-05-16 | N |
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-04-03 | 2024-05-16 | N |
Post nurse staffing information every day. | Health | 2024-04-03 | 2024-05-16 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-04-03 | 2024-05-16 | 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 | 2024-04-03 | 2024-05-16 | 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 | 2024-04-03 | 2024-05-16 | N |
Dispose of garbage and refuse properly. | Health | 2024-04-03 | 2024-05-16 | N |
Provide and implement an infection prevention and control program. | Health | 2024-04-03 | 2024-05-16 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-04-03 | 2024-05-16 | 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 | 2024-04-03 | 2024-05-16 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-03 | 2024-05-16 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-03 | 2024-05-16 | Y |
Conduct testing and exercise requirements. | Fire Safety | 2024-03-26 | 2024-05-06 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2024-03-26 | 2024-05-06 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-26 | 2024-05-06 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-26 | 2024-05-06 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-03-26 | 2024-05-06 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-21 | 2023-10-26 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-11 | 2023-08-10 | N |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-07-11 | 2023-08-10 | N |
Implement a program that monitors antibiotic use. | Health | 2022-07-14 | 2022-08-31 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-14 | 2022-08-31 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-14 | 2022-08-31 | Y |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-07-14 | 2022-08-31 | 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 | 2022-07-14 | 2022-08-31 | Y |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-07-14 | 2022-08-30 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-14 | 2022-08-30 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-07-14 | 2022-08-30 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-14 | 2022-08-30 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-14 | 2022-08-30 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-14 | 2022-08-30 | 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 | 2022-07-14 | 2022-08-30 | 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 | 2022-07-14 | 2022-08-30 | 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 | 2022-07-14 | 2022-08-30 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-14 | 2022-08-30 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-07-14 | 2022-08-30 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-07-14 | 2022-08-30 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-07-14 | 2022-08-30 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-14 | 2022-08-30 | Y |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-07-14 | 2022-08-30 | Y |
Provide or obtain dental services for each resident. | Health | 2022-07-14 | 2022-08-30 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-07-14 | 2022-08-30 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-07-14 | 2022-08-29 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-07-14 | 2022-08-29 | N |
Post nurse staffing information every day. | Health | 2022-07-14 | 2022-08-29 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-07-12 | 2022-08-15 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-07-12 | 2022-08-15 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-07-12 | 2022-08-15 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-07-12 | 2022-08-15 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-12 | 2022-08-15 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-07-12 | 2022-08-15 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-12 | 2022-08-15 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-07-12 | 2022-08-15 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-12 | 2022-08-15 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-29 | 2021-05-07 | N |
Keep residents' personal and medical records private and confidential. | Health | 2021-03-31 | 2021-03-31 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-31 | 2021-03-31 | 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 | 2021-03-31 | 2021-03-31 | N |
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