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Deficiency Records for The Earlwood

A list of the most recent deficiencies for The Earlwood. 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 The Earlwood. 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?
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-05-14 2024-05-20 Y
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2024-02-08 2024-02-22 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-12-21 2024-01-20 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-10-27 2023-11-27 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2023-10-27 2023-11-27 N
Ensure each resident receives an accurate assessment. Health 2023-10-27 2023-11-27 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-10-27 2023-11-27 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-10-27 2023-11-27 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2023-10-27 2023-11-27 N
Assist a resident in gaining access to vision and hearing services. Health 2023-10-27 2023-11-27 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2023-10-27 2023-11-27 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-10-27 2023-11-27 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2023-10-27 2023-11-27 N
Ensure that residents are free from significant medication errors. Health 2023-10-27 2023-11-27 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-10-27 2023-11-27 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-10-27 2023-11-27 N
Provide and implement an infection prevention and control program. Health 2023-10-27 2023-11-27 N
Provide enough space and equipment to meet each resident's needs Health 2023-10-27 2023-11-27 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-10-25 2023-11-25 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2023-09-28 2023-10-28 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-09-28 2023-10-28 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-08-15 2023-09-14 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-08-15 2023-09-14 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-08-15 2023-09-14 Y
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2023-07-29 2023-08-27 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-06-06 2023-06-23 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-05-26 2023-06-13 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-05-26 2023-06-13 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-12-08 2022-12-31 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2022-12-08 2022-12-31 N
Ensure each resident receives an accurate assessment. Health 2022-12-08 2022-12-31 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2022-12-08 2022-12-31 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-12-08 2022-12-31 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2022-12-08 2022-12-31 N
Assist a resident in gaining access to vision and hearing services. Health 2022-12-08 2022-12-31 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2022-12-08 2022-12-31 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2022-12-08 2022-12-31 N
Ensure medication error rates are not 5 percent or greater. Health 2022-12-08 2022-12-31 N
Ensure that residents are free from significant medication errors. Health 2022-12-08 2022-12-31 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2022-12-08 2022-12-31 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-12-08 2022-12-31 N
Provide and implement an infection prevention and control program. Health 2022-12-08 2022-12-31 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-12-08 2022-12-31 Y
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2022-12-08 2022-12-31 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-12-08 2022-12-31 Y
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2022-12-07 2022-12-30 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-12-07 2022-12-30 N
Prepare residents for a safe transfer or discharge from the nursing home. Health 2022-05-11 2022-05-26 Y
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Health 2021-10-26 2021-11-02 Y
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2019-04-19 2019-05-14 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2019-04-19 2019-05-14 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-04-19 2019-05-14 N
Ensure each resident receives an accurate assessment. Health 2019-04-19 2019-05-14 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2019-04-19 2019-05-14 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2019-04-19 2019-05-14 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2019-04-19 2019-05-14 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-04-19 2019-05-14 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-04-19 2019-05-14 N
Provide and implement an infection prevention and control program. Health 2019-04-19 2019-05-14 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2019-04-19 2019-05-14 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2019-04-19 2019-05-14 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-04-17 2019-05-13 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-04-17 2019-05-13 N
Have proper medical gas storage and administration areas. Fire Safety 2019-04-17 2019-05-13 N

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