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Deficiency Records for Eagle Ridge Post Acute
A list of the most recent deficiencies for Eagle Ridge Post Acute. 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 Eagle Ridge Post Acute. 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? |
|---|---|---|---|---|
| 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 | 2024-06-26 | 2024-08-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-26 | 2024-08-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-26 | 2024-08-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-26 | 2024-08-31 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-06-26 | 2024-08-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-06-26 | 2024-08-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-06-26 | 2024-08-31 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2024-06-26 | 2024-08-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-06-26 | 2024-07-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-06-26 | 2024-07-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-12 | 2024-07-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-12 | 2024-07-12 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-06-12 | 2024-07-12 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-06-12 | 2024-07-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-06-12 | 2024-07-12 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-06-12 | 2024-07-12 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-06-12 | 2024-07-12 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-06-12 | 2024-07-12 | N |
| Respond appropriately to all alleged violations. | Health | 2024-06-12 | 2024-07-12 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-06-12 | 2024-07-12 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-06-12 | 2024-07-12 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-06-12 | 2024-07-12 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-06-12 | 2024-07-12 | N |
| Post nurse staffing information every day. | Health | 2024-06-12 | 2024-07-12 | 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 | 2024-06-12 | 2024-07-12 | 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 | 2024-06-12 | 2024-07-12 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-06-12 | 2024-07-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-12 | 2024-07-12 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-06-12 | 2024-07-12 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-06-12 | 2024-07-12 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-06-12 | 2024-07-12 | N |
| Keep all essential equipment working safely. | Health | 2024-06-12 | 2024-07-12 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-06-12 | 2024-07-12 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-06-12 | 2024-07-12 | 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 | 2024-06-12 | 2024-07-12 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-06-12 | 2024-07-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-06-12 | 2024-07-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-06-26 | 2024-07-05 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-06-26 | 2024-07-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-26 | 2024-07-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-17 | 2023-12-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-23 | 2022-03-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-03-10 | 2020-04-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-10 | 2020-04-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-10 | 2020-03-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-03-10 | 2020-03-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-03-10 | 2020-03-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-03-10 | 2020-03-11 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2020-03-10 | 2020-03-10 | 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 | 2020-02-13 | 2020-03-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-13 | 2020-03-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-13 | 2020-03-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-02-13 | 2020-03-09 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2020-02-13 | 2020-03-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-02 | 2019-02-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-02 | 2019-01-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-01-02 | 2019-01-28 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-01-02 | 2019-01-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-01-02 | 2019-01-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-02 | 2019-01-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-02 | 2019-01-18 | 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 | 2018-12-13 | 2019-01-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-13 | 2019-01-15 | 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 | 2018-12-13 | 2019-01-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-12-13 | 2019-01-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-13 | 2019-01-15 | N |
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