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South Shore Health & Rehabilitation

Details

Type of Ownership Non profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 129
Continuing Care? No
Resident Council? Yes
Family Council? No
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: 04/18/2011

Date of last standard health inspection: 04/18/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 12
Average number of Health Deficiencies in IN: 3
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in IN: 0 - 25
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/08/2012 02/07/2001 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from all abuse 02/08/2012 02/07/2001 and involuntary separation from others. physical punishment
1) Hire only people with no legal history of abusing 02/08/2012 02/07/2001 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Develop and implement policies for 1) screening and training employees; and the 2) prevention 02/08/2012 02/07/2001 investigation identification
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 02/08/2012 02/07/2001 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Try to resolve each resident's complaints quickly. 02/08/2012 02/07/2001 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain comfortable and safe temperature levels. 01/05/2012 00/03/2001 2 Some
Make sure that the nursing home area is safe 01/05/2012 00/03/2001 clean and comfortable for residents easy to use
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Reasonably accommodate the needs and preferences of each resident. 01/05/2012 00/03/2001 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 01/04/2012 00/06/2001 2 Few
Give or get specialized rehabilitative services per the patient's assessment or plan of care. 01/04/2012 00/06/2001 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain comfortable and safe temperature levels. 01/02/2012 00/03/2001 2 Some

Inspection, 02/07/2009

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. 02/07/2009 02/08/2009 2 Few

Inspection, 02/06/2008

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 02/06/2008 00/07/2009 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Develop and implement policies for 1) screening and training employees; and the 2) prevention 02/06/2008 00/07/2009 investigation identification

Inspection, 02/00/2007

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 02/00/2007 02/06/2008 Some complete and organized clinical records on each re
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. 02/00/2007 02/06/2008 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/00/2007 02/06/2008 2 Few

Inspection, 02/05/2006

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 02/05/2006 02/06/2008 Few complete and organized clinical records on each re
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/05/2006 02/06/2008 2 Some

Inspection, 00/07/2006

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing 00/07/2006 00/07/2006 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Develop and implement policies for 1) screening and training employees; and the 2) prevention 00/07/2006 00/07/2006 investigation identification

Inspection, 00/02/2006

Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/02/2006 02/00/2007 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident 00/02/2006 02/00/2007 and a family member of situations (injury/decline/ the resident's doctor

Inspection, 02/07/2004

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 02/07/2004 00/03/2008 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/07/2004 00/03/2008 1 Many
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/07/2004 00/03/2008 2 Few
Have a program that investigates, controls and keeps infection from spreading. 02/07/2004 01/04/2008 2 Many
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 02/07/2004 00/03/2008 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 02/07/2004 00/03/2008 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 02/07/2004 01/04/2008 2 Few
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 02/07/2004 00/03/2008 2 Few
Ensure that residents are safe from serious medication errors. 02/07/2004 00/03/2008 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/07/2004 00/03/2008 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 02/07/2004 00/03/2008 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/07/2004 01/04/2008 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/07/2004 00/03/2008 2 Few
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. 02/07/2004 00/03/2008 2 Few
Ensure residents maintain acceptable nutritional status. 02/07/2004 01/04/2008 2 Few
Provide or obtain dental services for each resident. 02/07/2004 01/04/2008 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure each resident receives an accurate assessment by a qualified health professional. 02/07/2004 00/03/2008 1 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give notice to the resident before a room or roommate change. 02/07/2004 00/03/2008 1 Some

Inspection, 01/08/2004

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Post nurse staffing information/data on a daily basis. 01/08/2004 00/02/2006 1 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/08/2004 00/02/2006 2 Some
Provide clean bed and bath linens that are in good condition. 01/08/2004 00/02/2006 1 Many
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/08/2004 02/04/2006 4 Some
Have a program that investigates, controls and keeps infection from spreading. 01/08/2004 00/02/2006 2 Some
Make sure that a working call system is available in each resident's room or bathroom and bathing area. 01/08/2004 00/02/2006 2 Few
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 01/08/2004 00/02/2006 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 01/08/2004 00/02/2006 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 01/08/2004 00/02/2006 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/08/2004 00/02/2006 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/08/2004 00/02/2006 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 01/08/2004 00/02/2006 2 Few
Ensure services provided by the nursing facility meet professional standards of quality. 01/08/2004 00/02/2006 2 Few
Provide care by qualified persons according to each resident's written plan of care. 01/08/2004 00/02/2006 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/08/2004 02/04/2006 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/08/2004 00/02/2006 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/08/2004 02/04/2006 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 01/08/2004 00/02/2006 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. 01/08/2004 00/02/2006 2 Few
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 01/08/2004 02/04/2006 2 Few
Try to resolve each resident's complaints quickly. 01/08/2004 00/02/2006 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/08/2004 00/02/2006 2 Few
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. 01/08/2004 00/02/2006 2 Few
Give notice to the resident before a room or roommate change. 01/08/2004 00/02/2006 2 Few

Inspection, 01/07/2003

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/07/2003 00/03/2008 4 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 01/07/2003 00/03/2008 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs 01/07/2003 00/03/2008 Few with timetables and actions that can be measured.

Inspection, 01/02/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Quickly tell the resident's doctor the results of laboratory tests. 01/02/2003 01/00/2004 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/02/2003 01/00/2004 2 Some
Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. 01/02/2003 01/00/2004 2 Many
Train all employees on what to do in an emergency, and carry out unannounced staff drills. 01/02/2003 01/00/2004 2 Many
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 01/02/2003 01/00/2004 1 Many
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/02/2003 01/00/2004 2 Some
Have a program that investigates, controls and keeps infection from spreading. 01/02/2003 01/00/2004 2 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 01/02/2003 01/00/2004 2 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 01/02/2003 01/00/2004 2 Some
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/02/2003 01/00/2004 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 01/02/2003 01/00/2004 2 Some
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/02/2003 01/00/2004 2 Some
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/02/2003 01/00/2004 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 01/02/2003 01/00/2004 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 01/02/2003 01/00/2004 2 Few
Develop policies and procedures for influenza and pneumococcal immunizations. 01/02/2003 01/00/2004 2 Few
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 01/02/2003 01/00/2004 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 01/02/2003 01/00/2004 2 Few
Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home. 01/02/2003 01/00/2004 2 Few
Make sure that doctors visit residents regularly, as required. 01/02/2003 01/00/2004 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 01/02/2003 01/00/2004 1 Many
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 01/02/2003 01/00/2004 2 Few
Keep residents' personal and medical records private and confidential. 01/02/2003 01/00/2004 2 Some
Allow residents to easily view the results of the nursing home's most recent inspection. 01/02/2003 01/00/2004 1 Many
Reasonably accommodate the needs and preferences of each resident. 01/02/2003 01/00/2004 2 Few

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 IN Golden Living Center, Asheville
RN Staff Only1 N/A N/A 1 out of 5 stars
Total Number of Residents 86 70 105
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 16 hours 30 minutes 51 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 15 hours 32 minutes 17 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 15 hours 50 minutes 34 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 17 hours 5 minutes 1 hour 25 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

Short-Term Residents

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: 05/09/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 05/09/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in IN: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in IN: 0 - 0

Inspection, 02/01/2005

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 02/01/2005 02/00/2008 2 Some
Automatic sprinkler systems that have been maintained in working order. 02/01/2005 02/00/2008 2 Some
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 02/01/2005 02/00/2008 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. 02/01/2005 01/02/2007 2 Some
Corridor and hallway doors that block smoke. 02/01/2005 01/02/2007 2 Some
Signs that state that exit doors are to be kept closed. 02/01/2005 01/02/2007 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/01/2005 01/02/2007 2 Some
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A written emergency evacuation plan. 02/01/2005 02/00/2008 2 Many
Record of quarterly fire drills for each shift under varying conditions. 02/01/2005 01/02/2007 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/01/2005 01/02/2007 2 Few
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 02/01/2005 01/02/2007 2 Many
Properly maintained smoke detectors. 02/01/2005 01/02/2007 2 Many
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Restrictions on the use of flammable curtains. 02/01/2005 01/02/2007 2 Some
Properly sized and located linen or trash receptacles. 02/01/2005 01/02/2007 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 02/01/2005 01/02/2007 2 Some
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Emergency lighting that can last at least 1 1/2 hours. 02/01/2005 01/02/2007 2 Many
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper fire barriers, ventilation and signs for the transfilling of oxygen. 02/01/2005 01/02/2007 2 Many
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 02/01/2005 02/00/2006 2 Some
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Walls that prevent smoke from passing through and would resist fire for at least one hour. 02/01/2005 01/02/2007 2 Some
Smoke barrier doors that can resist smoke for at least 20 minutes. 02/01/2005 02/00/2008 2 Some
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 02/01/2005 02/00/2008 2 Some
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. 02/01/2005 01/02/2007 2 Few
Protected exits that allow the resident to escape the building. 02/01/2005 01/02/2007 2 Few

Inspection, 00/09/2005

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/09/2005 00/07/2006 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 00/09/2005 00/07/2006 2 Some
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A written emergency evacuation plan. 00/09/2005 00/07/2006 2 Many
Record of quarterly fire drills for each shift under varying conditions. 00/09/2005 00/07/2006 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Horizontal exits. 00/09/2005 00/07/2006 2 Some
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 00/09/2005 00/07/2006 2 Many
Properly maintained smoke detectors. 00/09/2005 00/07/2006 2 Many
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Restrictions on the use of flammable curtains. 00/09/2005 00/07/2006 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 00/09/2005 00/07/2006 2 Some
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 00/09/2005 00/07/2006 2 Some
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes. 00/09/2005 00/07/2006 2 Many
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 00/09/2005 00/07/2006 1 Some

Inspection, 01/01/2003

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Back-up procedures in place for a faulty automatic sprinkler system. 01/01/2003 00/09/2004 2 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/01/2003 00/09/2004 2 Few
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
A written emergency evacuation plan. 01/01/2003 00/09/2004 2 Many
Record of quarterly fire drills for each shift under varying conditions. 01/01/2003 00/09/2004 2 Many
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 01/01/2003 00/09/2004 2 Many
An approved back-up procedure for a faulty fire alarm system. 01/01/2003 00/09/2004 2 Many
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly sized and located linen or trash receptacles. 01/01/2003 00/09/2004 2 Some
Miscellaneous Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Other fire safety features required by fire safety codes. 01/01/2003 00/09/2004 2 Many
 

353 Tyler St
Gary, IN 46402

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