Have approved installation, maintenance and testing program for fire alarm systems.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 20, 2022
Inspect, test, and maintain automatic sprinkler systems.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 20, 2022
Have simulated fire drills held at unexpected times.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 20, 2022
Have proper medical gas storage and administration areas.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 20, 2022
Provide and implement an infection prevention and control program.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 20, 2022
Conduct risk assessment and an All-Hazards approach.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 20, 2022
Address patient/client population and determine types of services needed.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 20, 2022
Include a process for Emergency Preparedness collaboration.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 20, 2022
Address subsistence needs for staff and patients.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 20, 2022
Establish policies and procedures for sheltering.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 20, 2022
Establish policies and procedures for medical documentation.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 20, 2022
Establish policies and procedures for volunteers.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 20, 2022
Establish roles under a Waiver declared by secretary.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 20, 2022
Develop a communication plan.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 20, 2022
List the names and contact information of those in the facility.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 20, 2022
Provide primary/alternate means for communication.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 20, 2022
Establish methods for sharing information.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 20, 2022
Provide family notifications of emergency plan.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 20, 2022
Provide a means of sharing information on occupancy/needs.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 20, 2022
Install corridor and hallway doors that block smoke.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 20, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 20, 2022
Ensure services provided by the nursing facility meet professional standards of quality.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 20, 2022
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 20, 2022
Provide hallway or ground-level exits in all residents' rooms.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 20, 2022
Construct fire resistant interior walls.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 20, 2022
Provide safe and appropriate respiratory care for a resident when needed.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 20, 2022