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Deficiency Records for Discovery Village at Southlake
A list of the most recent deficiencies for Discovery Village at Southlake. 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 Discovery Village at Southlake. 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2024-03-14 | 2024-04-20 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-03-14 | 2024-04-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-14 | 2024-04-20 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-03-14 | 2024-04-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-14 | 2024-04-20 | N |
| Dispose of garbage and refuse properly. | Health | 2024-03-14 | 2024-04-20 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-03-14 | 2024-04-20 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-03-14 | 2024-04-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-03-14 | 2024-04-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-03-14 | 2024-04-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-29 | 2023-09-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-20 | 2023-02-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-20 | 2023-02-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-20 | 2023-02-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-10 | 2021-12-24 | 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 | 2021-11-10 | 2021-12-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-11-10 | 2021-12-15 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-11-10 | 2021-12-15 | N |
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