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Good Samaritan Society - Liberal
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2160 Zinnia Ln
Liberal, KS 67901
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Details
| Type of Ownership | For profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 70 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | Yes |
| Multi-Home Chain? | No |
| Located in a Hospital? | No |
| Special Focus Facility? | No |
View: Health Inspections | Quality Measures | Staffing | Fire Inspections
Health Inspections
Most Recent Inspection: 05/02/2011
| Date of last standard health inspection: | 05/02/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Health Deficiencies for this nursing home: | 21 |
| Average number of Health Deficiencies in KS: | 11 |
| Average number of Health Deficiencies in US: | 8 |
| Range of Health Deficiencies in KS: | 0 - 60 |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | 07/27/2011 | 07/27/2011 | Minimal harm or potential for actual harm | Isolated |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the nursing home area is free of dangers that cause accidents. | 06/16/2011 | 00/00/0000 | Minimal harm or potential for actual harm | Isolated |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give each resident care and services to get or keep the highest quality of life possible. | 06/16/2011 | 00/00/0000 | Actual harm | Isolated |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide needed housekeeping and maintenance. | 05/02/2011 | 06/16/2011 | Minimal harm or potential for actual harm | Pattern |
| Make sure that the nursing home area is free of dangers that cause accidents. | 05/02/2011 | 07/27/2011 | Minimal harm or potential for actual harm | Isolated |
| Have a program to keep infection from spreading. | 05/02/2011 | 06/16/2011 | Minimal harm or potential for actual harm | Pattern |
| Keep all essential equipment working safely. | 05/02/2011 | 06/16/2011 | Minimal harm or potential for actual harm | Widespread |
Mistreatment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | 05/02/2011 | 08/29/2011 | Minimal harm or potential for actual harm | Isolated |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Offer other nutritional food to each resident who will not eat the food served. | 05/02/2011 | 06/16/2011 | Minimal harm or potential for actual harm | Isolated |
| Store, cook, and give out food in a safe and clean way. | 05/02/2011 | 07/27/2011 | Minimal harm or potential for actual harm | Pattern |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | 05/02/2011 | 06/16/2011 | Minimal harm or potential for actual harm | Isolated |
| At least once a month, have a licensed pharmacist check the drugs that each resident takes. | 05/02/2011 | 06/16/2011 | Minimal harm or potential for actual harm | Isolated |
| Properly mark drugs and other similar products. | 05/02/2011 | 07/27/2011 | Minimal harm or potential for actual harm | Pattern |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give each resident care and services to get or keep the highest quality of life possible. | 05/02/2011 | 07/27/2011 | Actual harm | Isolated |
| Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | 05/02/2011 | 06/16/2011 | Minimal harm or potential for actual harm | Isolated |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | 05/02/2011 | 06/16/2011 | Minimal harm or potential for actual harm | Pattern |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | 05/02/2011 | 06/16/2011 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. | 05/02/2011 | 06/16/2011 | Minimal harm or potential for actual harm | Isolated |
| Quickly give a resident's personal money to the heads of his or her estate after the resident's death. | 05/02/2011 | 06/16/2011 | Minimal harm or potential for actual harm | Isolated |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | 05/02/2011 | 06/16/2011 | Minimal harm or potential for actual harm | Isolated |
| Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care. | 05/02/2011 | 06/16/2011 | Minimal harm or potential for actual harm | Isolated |
Inspection, 01/15/2010
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Set up or keep a group of people to review and ensure quality. | 01/15/2010 | 02/14/2010 | Minimal harm or potential for actual harm | Widespread |
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide needed housekeeping and maintenance. | 01/15/2010 | 02/14/2010 | Minimal harm or potential for actual harm | Pattern |
| Make sure that the nursing home area is free of dangers that cause accidents. | 01/15/2010 | 02/14/2010 | Minimal harm or potential for actual harm | Pattern |
| Have a program to keep infection from spreading. | 01/15/2010 | 02/14/2010 | Minimal harm or potential for actual harm | Widespread |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable. | 01/15/2010 | 02/14/2010 | Minimal harm or potential for actual harm | Pattern |
Nutrition and Dietary Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and give out food in a safe and clean way. | 01/15/2010 | 02/14/2010 | Minimal harm or potential for actual harm | Widespread |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | 01/15/2010 | 02/14/2010 | Minimal harm or potential for actual harm | Isolated |
| Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. | 01/15/2010 | 02/14/2010 | Minimal harm or potential for actual harm | Isolated |
| At least once a month, have a licensed pharmacist check the drugs that each resident takes. | 01/15/2010 | 02/14/2010 | Minimal harm or potential for actual harm | Isolated |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide activities to meet the needs of each resident. | 01/15/2010 | 02/14/2010 | Minimal harm or potential for actual harm | Pattern |
| Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | 01/15/2010 | 02/14/2010 | Minimal harm or potential for actual harm | Isolated |
| Give professional services that meet a professional standard of quality. | 01/15/2010 | 02/14/2010 | Minimal harm or potential for actual harm | Isolated |
| Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | 01/15/2010 | 02/14/2010 | Minimal harm or potential for actual harm | Isolated |
| Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | 01/15/2010 | 02/14/2010 | Minimal harm or potential for actual harm | Isolated |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | 01/15/2010 | 02/14/2010 | Minimal harm or potential for actual harm | Isolated |
| Develop/implement required procedures for the administration of immunizations. | 01/15/2010 | 02/14/2010 | Minimal harm or potential for actual harm | Isolated |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | 01/15/2010 | 02/14/2010 | Minimal harm or potential for actual harm | Widespread |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | 01/15/2010 | 02/14/2010 | Minimal harm or potential for actual harm | Isolated |
| 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | 01/15/2010 | 02/14/2010 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure each resident has the right to choose activities, schedules and health care according to his or her interests, assessment, and plan of care. | 01/15/2010 | 02/14/2010 | Minimal harm or potential for actual harm | Pattern |
| Listen to the resident or family groups or act on their complaints or suggestions. | 01/15/2010 | 02/14/2010 | Minimal harm or potential for actual harm | Pattern |
Inspection, 10/14/2008
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide needed housekeeping and maintenance. | 10/14/2008 | 12/02/2008 | Minimal harm or potential for actual harm | Pattern |
| Make sure that the nursing home area is free of dangers that cause accidents. | 10/14/2008 | 12/02/2008 | Minimal harm or potential for actual harm | Pattern |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable. | 10/14/2008 | 12/02/2008 | Minimal harm or potential for actual harm | Pattern |
Mistreatment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | 10/14/2008 | 12/02/2008 | Minimal harm or potential for actual harm | Isolated |
Nutrition and Dietary Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | 10/14/2008 | 12/02/2008 | Minimal harm or potential for actual harm | Pattern |
| Offer other nutritional food to each resident who will not eat the food served. | 10/14/2008 | 12/02/2008 | Minimal harm or potential for actual harm | Pattern |
| Store, cook, and give out food in a safe and clean way. | 10/14/2008 | 12/02/2008 | Minimal harm or potential for actual harm | Widespread |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | 10/14/2008 | 01/07/2009 | Minimal harm or potential for actual harm | Pattern |
| At least once a month, have a licensed pharmacist check the drugs that each resident takes. | 10/14/2008 | 12/02/2008 | Minimal harm or potential for actual harm | Pattern |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide activities to meet the needs of each resident. | 10/14/2008 | 12/02/2008 | Minimal harm or potential for actual harm | Pattern |
| Give each resident care and services to get or keep the highest quality of life possible. | 10/14/2008 | 01/07/2009 | Minimal harm or potential for actual harm | Pattern |
| Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | 10/14/2008 | 12/02/2008 | Minimal harm or potential for actual harm | Isolated |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 10/14/2008 | 12/02/2008 | Actual harm | Isolated |
| Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | 10/14/2008 | 12/02/2008 | Actual harm | Isolated |
| Make sure that each resident's nutritional needs were met. | 10/14/2008 | 12/02/2008 | Minimal harm or potential for actual harm | Isolated |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | 10/14/2008 | 12/02/2008 | Minimal harm or potential for actual harm | Isolated |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | 10/14/2008 | 12/02/2008 | Minimal harm or potential for actual harm | Widespread |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make a complete assessment that covers all questions for areas that are listed in official regulations. | 10/14/2008 | 12/02/2008 | Minimal harm or potential for actual harm | Isolated |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | 10/14/2008 | 12/02/2008 | Minimal harm or potential for actual harm | Pattern |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | 10/14/2008 | 12/02/2008 | Minimal harm or potential for actual harm | Isolated |
Nursing Home Staffing
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
| National Average | Average in KS | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | 3 out of 5 stars |
| Total Number of Residents | 86 | 54 | 57 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
1 hour 29 minutes | 1 hour 20 minutes | 57 minutes |
|
RN Hours per Resident per Day |
40 minutes | 40 minutes | 25 minutes |
|
LPN/LVN Hours per Resident per Day |
49 minutes | 39 minutes | 31 minutes |
|
CNA Hours per Resident per Day |
2 hours 25 minutes | 2 hours 34 minutes | 2 hours 34 minutes |
1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.
Quality Measures
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
Long-Term Residents
| Percent of high-risk long-stay residents who have pressure sores | 9% |
| Percent of long-stay residents given influenza vaccination during the flu season | 88% |
| Percent of long-stay residents who are more depressed or anxious | 21% |
| Percent of long-stay residents who had a urinary tract infection | 15% |
| Percent of long-stay residents who have moderate to severe pain | 4% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 4% |
| Percent of long-stay residents who spend most of their time in bed or in a chair | 3% |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination | 77% |
| Percent of long-stay residents who were physically restrained | 0% |
| Percent of long-stay residents whose ability to move about in and around their room got worse | 12% |
| Percent of long-stay residents whose need for help with daily activities has increased | 12% |
| Percent of low-risk long-stay residents who have pressure sores | 1% |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder | 43% |
Short-Term Residents
| Percent of long-stay residents who lose too much weight | 14% |
| Percent of short-stay residents given influenza vaccination during the flu season | 80% |
| Percent of short-stay residents who had moderate to severe pain | 32% |
| Percent of short-stay residents who have delirium | 0% |
| Percent of short-stay residents who have pressure sores | 15% |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination | 70% |
Fire Safety Inspections
Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.
Most Recent Inspection: 10/12/2010
| Automatic Sprinkler Systems in all required areas | fully sprinklered |
| Date of last standard fire safety inspection: | 10/12/2010 |
| Dates of Complaint Investigations: | 12/01/2010 - 11/30/2011 |
| Total number of Fire Safety Deficiencies for this nursing home: | 3 |
| Average number of Fire Safety Deficiencies in KS: | 1 |
| Average number of Fire Safety Deficiencies in US: | 4 |
| Range of Fire Safety Deficiencies in KS: | 0 - 1 |
Electrical Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| weekly inspections and monthly testing of generators. | 10/12/2010 | 10/18/2010 | Minimal harm or potential for actual harm | Widespread |
Emergency Plans and Fire Drills Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| record of quarterly fire drills for each shift under varying conditions. | 10/12/2010 | 10/14/2010 | Minimal harm or potential for actual harm | Widespread |
Furnishings and Decorations Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| exits that are free from obstructions and can be used at all times. | 10/12/2010 | 10/12/2010 | Minimal harm or potential for actual harm | Pattern |
Inspection, 09/16/2009
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| automatic sprinkler systems that have been maintained in working order. | 09/16/2009 | 10/15/2009 | Minimal harm or potential for actual harm | Widespread |
Building Construction Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| approved construction type or materials. | 09/16/2009 | 10/15/2009 | Minimal harm or potential for actual harm | Widespread |
Corridor Walls and Doors Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| corridor and hallway doors that block smoke. | 09/16/2009 | 10/15/2009 | Minimal harm or potential for actual harm | Isolated |
Emergency Plans and Fire Drills Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| record of quarterly fire drills for each shift under varying conditions. | 09/16/2009 | 10/15/2009 | Minimal harm or potential for actual harm | Widespread |
Fire Alarm Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| a fire alarm system that can be heard throughout the facility. | 09/16/2009 | 10/15/2009 | Minimal harm or potential for actual harm | Widespread |
Inspection, 08/12/2008
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| automatic sprinkler systems that have been maintained in working order. | 08/12/2008 | 09/11/2008 | Minimal harm or potential for actual harm | Widespread |
| portable fire extinguishers. | 08/12/2008 | 08/20/2008 | Minimal harm or potential for actual harm | Widespread |
Building Construction Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| approved construction type or materials. | 08/12/2008 | 09/11/2008 | Minimal harm or potential for actual harm | Widespread |
Building Service Equipment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | 08/12/2008 | 09/11/2008 | Minimal harm or potential for actual harm | Pattern |
| properly protected cooking facilities. | 08/12/2008 | 09/11/2008 | Minimal harm or potential for actual harm | Pattern |
Corridor Walls and Doors Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| corridors that are separated from common areas by walls constructed to limit the passage of smoke. | 08/12/2008 | 08/15/2008 | Minimal harm or potential for actual harm | Pattern |
| corridor and hallway doors that block smoke. | 08/12/2008 | 09/11/2008 | Minimal harm or potential for actual harm | Pattern |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| properly installed electrical wiring and equipment. | 08/12/2008 | 09/11/2008 | Minimal harm or potential for actual harm | Pattern |
Emergency Plans and Fire Drills Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| record of quarterly fire drills for each shift under varying conditions. | 08/12/2008 | 09/11/2008 | Minimal harm or potential for actual harm | Widespread |
Fire Alarm Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| a fire alarm system that can be heard throughout the facility. | 08/12/2008 | 09/11/2008 | Minimal harm or potential for actual harm | Widespread |
| properly maintained smoke detectors. | 08/12/2008 | 09/11/2008 | Minimal harm or potential for actual harm | Widespread |
Furnishings and Decorations Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| exits that are free from obstructions and can be used at all times. | 08/12/2008 | 08/20/2008 | Minimal harm or potential for actual harm | Pattern |
| restrictions on the use of flammable curtains. | 08/12/2008 | 09/11/2008 | Minimal harm or potential for actual harm | Pattern |
| properly sized and located linen or trash receptacles. | 08/12/2008 | 09/11/2008 | Minimal harm or potential for actual harm | Pattern |
Illumination and Emergency Power Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| emergency lighting that can last at least 1 1/2 hours. | 08/12/2008 | 09/11/2008 | Minimal harm or potential for actual harm | Isolated |
Interior Finish Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| fire-resistant room wall surfaces. | 08/12/2008 | 09/11/2008 | Minimal harm or potential for actual harm | Isolated |
Smoke Compartmentation and Control Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| smoke barrier doors that can resist smoke for at least 20 minutes. | 08/12/2008 | 08/20/2008 | Minimal harm or potential for actual harm | Widespread |
