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Deficiency Records for Eden Healthcare Center
A list of the most recent deficiencies for Eden Healthcare Center. 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 Eden Healthcare Center. 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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-18 | 2024-08-02 | 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 | 2024-04-10 | 2024-05-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-21 | 2023-12-11 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2023-08-30 | 2023-09-13 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-28 | 2023-09-13 | Y |
| Provide appropriate foot care. | Health | 2023-06-01 | 2023-06-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-26 | 2023-06-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-20 | 2023-02-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-11 | 2022-11-09 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-09-19 | 2022-10-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-19 | 2022-10-14 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-06-30 | 2022-07-28 | Y |
| 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 | 2022-06-30 | 2022-07-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-09 | 2021-12-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-09 | 2021-12-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-08 | 2021-12-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-08 | 2021-08-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-08 | 2021-08-17 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-07-08 | 2021-08-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-08 | 2021-08-17 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-07-08 | 2021-08-17 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-07-08 | 2021-08-17 | 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 | 2021-07-08 | 2021-08-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-08 | 2021-08-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-08 | 2021-08-17 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-07-08 | 2021-08-17 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-07-07 | 2021-07-29 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-07-07 | 2021-07-29 | N |
| Use approved construction type or materials. | Fire Safety | 2021-07-07 | 2021-07-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-07 | 2021-07-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-07 | 2021-07-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-07 | 2021-07-29 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-09-11 | 2019-10-10 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-09-11 | 2019-10-10 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-09-11 | 2019-10-10 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-09-11 | 2019-10-10 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-09-11 | 2019-10-10 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-09-11 | 2019-10-10 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-09-11 | 2019-10-10 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-09-11 | 2019-10-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-09-11 | 2019-10-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-09-11 | 2019-10-10 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-09-11 | 2019-10-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-11 | 2019-10-10 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-09-11 | 2019-10-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-11 | 2019-10-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-09-11 | 2019-10-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-11 | 2019-10-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-09-11 | 2019-10-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-09-11 | 2019-10-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-11 | 2019-10-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-11 | 2019-10-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-11 | 2019-10-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-07-25 | 2019-08-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-07-25 | 2019-08-21 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2019-07-25 | 2019-08-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-07-25 | 2019-08-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-07-25 | 2019-08-21 | N |
| 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 | 2019-07-25 | 2019-08-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-25 | 2019-08-21 | 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 | 2019-07-25 | 2019-08-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-25 | 2019-08-21 | 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 | 2019-07-25 | 2019-08-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-25 | 2019-08-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-25 | 2019-08-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-11-29 | 2018-12-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-29 | 2018-12-20 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2018-11-29 | 2018-12-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-29 | 2018-12-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-09-28 | 2018-10-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-09-28 | 2018-10-28 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-09-28 | 2018-10-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-09-28 | 2018-10-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-09-28 | 2018-10-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-28 | 2018-10-28 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-09-28 | 2018-10-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-28 | 2018-10-28 | N |
| Provide activities to meet all resident's needs. | Health | 2018-09-28 | 2018-10-28 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-09-28 | 2018-10-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-28 | 2018-10-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-28 | 2018-10-28 | N |
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