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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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