Nanaws Place 2

The facility failed to have a refrigerator with a designated and locked storage area for medications requiring refrigeration.

The facility failed to have documented evidence that direct care staff had completed all required continuing education.

The facility failed to either assess a resident or to develop, approve, sign, or follow a service plan within the allowable time.

The facility failed to implement, enforce or have written policies for the control of communicable diseases including tuberculosis (TB) screening and provision of a safe and sanitary environment for employees and residents.

The facility failed to ensure the building and structure complied with the 2000 edition of the Life Safety Code, NFPA 101.

The facility failed to ensure the smoke detectors were to be tested for sensitivity as required. The facility failed to provide all required fire alarm documentation, including as-built installation drawings, operation and maintenance manuals, and a written sequence of operation, must be available for examination by DADS.

The facility failed to ensure a written emergency plan that addresses the eight core functions of emergency management was provided.

The facility failed to ensure an annual inspection was conducted by the local fire marshal.

The facility failed to ensure interior walls and/or ceilings were constructed with a material having at least a 20-minute fire rating, or at least 3/8 gypsum board.

The facility failed to provide and maintain heating and cooling systems in compliance with licensing standards for assisted living facilities.

The facility failed to provide the required sprinkler system to meet NFPA 13, 13D, 13R, or meet the requirements of Chapter 32.