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Deficiency Records for Pride Tlc Therapy and Living Campus
A list of the most recent deficiencies for Pride Tlc Therapy and Living Campus. 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 Pride Tlc Therapy and Living Campus. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-08 | 2024-06-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-08 | 2024-06-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-08 | 2024-06-08 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-05-07 | 2024-06-08 | 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 | 2024-05-07 | 2024-06-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-07 | 2024-06-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-05-07 | 2024-06-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-07 | 2024-06-08 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-05-22 | 2023-06-20 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-05-22 | 2023-06-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-04-20 | 2022-05-20 | N |
| Develop a communication plan. | Fire Safety | 2022-04-20 | 2022-05-20 | 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 | 2022-04-20 | 2022-05-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-20 | 2022-05-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-20 | 2022-05-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-20 | 2022-05-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-20 | 2022-05-20 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2022-04-20 | 2022-05-20 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-04-20 | 2022-05-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-20 | 2022-05-20 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-04-20 | 2022-05-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-07 | 2022-01-06 | N |
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