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Deficiency Records for Eben Ezer Lutheran Care Center
A list of the most recent deficiencies for Eben Ezer Lutheran 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 Eben Ezer Lutheran 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? |
|---|---|---|---|---|
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-21 | 2023-06-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-21 | 2023-06-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-21 | 2023-06-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-21 | 2023-06-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-21 | 2023-05-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-02 | 2023-03-30 | 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 | 2023-03-02 | 2023-03-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-02 | 2023-03-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-06 | 2022-07-29 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-15 | 2022-02-12 | N |
| Have an externally vented heating system. | Fire Safety | 2021-12-15 | 2022-02-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-12-15 | 2022-02-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-15 | 2022-02-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-15 | 2021-12-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-12-15 | 2021-12-22 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-12-15 | 2021-12-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-15 | 2021-12-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-15 | 2021-12-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-18 | 2021-12-17 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-11-18 | 2021-12-17 | 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 | 2021-11-18 | 2021-12-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-12-15 | 2021-12-16 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-08-06 | 2019-09-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-06 | 2019-09-12 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-08-06 | 2019-08-23 | N |
| Respond appropriately to all alleged violations. | Health | 2019-07-11 | 2019-08-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-11 | 2019-08-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-11 | 2019-08-12 | 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 | 2019-07-11 | 2019-08-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-11 | 2019-08-09 | N |
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