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Deficiency Records for The Plaza at Edgemere
A list of the most recent deficiencies for The Plaza at Edgemere. 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 The Plaza at Edgemere. 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 | 2024-10-03 | 2024-11-01 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-03 | 2024-11-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-03 | 2024-11-01 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-10-03 | 2024-11-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-10-03 | 2024-11-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-03 | 2024-11-01 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-10-03 | 2024-11-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-10-03 | 2024-11-01 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-10-02 | 2024-11-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-02 | 2024-11-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-02 | 2024-11-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-10-02 | 2024-11-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-10-02 | 2024-11-01 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2024-10-02 | 2024-11-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-02 | 2024-11-01 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-08-29 | 2023-10-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-22 | 2022-09-19 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-14 | 2022-08-05 | N |
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