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Deficiency Records for Height Street Skilled Care
A list of the most recent deficiencies for Height Street Skilled Care. 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 Height Street Skilled Care. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-17 | 2024-10-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-17 | 2024-10-04 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-08-14 | 2024-09-02 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-29 | 2024-08-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-31 | 2024-08-06 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2024-07-31 | 2024-08-06 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-07-31 | 2024-08-06 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-05-20 | 2024-06-14 | 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 | 2024-05-20 | 2024-06-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-16 | 2024-06-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-16 | 2024-06-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-09 | 2024-05-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-11 | 2023-12-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-06 | 2023-12-06 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-22 | 2023-08-23 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-28 | 2022-05-20 | 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 | 2022-04-28 | 2022-05-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-28 | 2022-05-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-28 | 2022-05-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-28 | 2022-05-20 | 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 | 2022-04-28 | 2022-05-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-28 | 2022-05-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-28 | 2022-05-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-02 | 2022-05-09 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-05-02 | 2022-05-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-05-02 | 2022-05-09 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2020-08-05 | 2020-08-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-08-05 | 2020-08-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-08-05 | 2020-08-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-08-05 | 2020-08-21 | N |
| Ensure that smoke control systems are tested and documented in accordance with established engineering principles. | Fire Safety | 2020-08-05 | 2020-08-21 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2020-03-05 | 2020-04-06 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2020-03-05 | 2020-04-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-03-05 | 2020-04-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-05 | 2020-04-06 | 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 | 2020-03-05 | 2020-04-06 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2020-03-05 | 2020-04-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-05 | 2020-04-06 | 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 | 2020-03-05 | 2020-04-06 | 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 | 2020-03-05 | 2020-04-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-05 | 2020-04-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-05 | 2020-04-06 | N |
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