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Deficiency Records for Amaya Springs Health Care Center
A list of the most recent deficiencies for Amaya Springs Health Care 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 Amaya Springs Health Care 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 timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-09-13 | 2024-10-13 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-09-13 | 2024-10-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-13 | 2024-10-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-13 | 2024-10-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-13 | 2024-10-13 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-09-13 | 2024-10-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-09-18 | 2024-09-30 | N |
| Use approved construction type or materials. | Fire Safety | 2024-09-18 | 2024-09-30 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-09-18 | 2024-09-30 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-09-18 | 2024-09-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-09-18 | 2024-09-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-09-18 | 2024-09-30 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-09-18 | 2024-09-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-18 | 2024-09-30 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-09-18 | 2024-09-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-09-18 | 2024-09-30 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-06-18 | 2024-06-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-05 | 2024-05-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-18 | 2023-12-26 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-22 | 2023-09-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-16 | 2022-08-30 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2022-08-09 | 2022-08-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-01 | 2022-05-10 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-02-18 | 2022-03-18 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-02-18 | 2022-03-18 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-02-18 | 2022-03-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-02-18 | 2022-03-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-18 | 2022-03-18 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-02-18 | 2022-03-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-18 | 2022-03-18 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-02-18 | 2022-03-18 | 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 | 2022-02-18 | 2022-03-18 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2022-02-18 | 2022-03-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-18 | 2022-03-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-18 | 2022-03-18 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-02-18 | 2022-03-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-24 | 2022-03-14 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2022-02-22 | 2022-03-11 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-02-22 | 2022-03-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-22 | 2022-03-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-22 | 2022-03-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-22 | 2022-03-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-22 | 2022-03-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-02-22 | 2022-03-11 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-11-23 | 2022-02-01 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2020-03-12 | 2020-04-14 | N |
| Install proper backup exit lighting. | Fire Safety | 2020-03-12 | 2020-04-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-03-12 | 2020-04-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-03-12 | 2020-04-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-12 | 2020-04-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-03-12 | 2020-04-14 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2020-03-12 | 2020-04-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-03-12 | 2020-04-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-12 | 2020-04-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-03-12 | 2020-04-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-12 | 2020-04-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-03-06 | 2020-04-06 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2020-03-06 | 2020-04-06 | 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 | 2020-03-06 | 2020-04-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-03-06 | 2020-04-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-06 | 2020-04-06 | 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 | 2020-03-06 | 2020-04-06 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2020-03-06 | 2020-04-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-06 | 2020-04-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-04 | Not Fixed | N |
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