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Deficiency Records for Excelcare at Lewes LLC
A list of the most recent deficiencies for Excelcare at Lewes LLC. 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 Excelcare at Lewes LLC. 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 each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-03-20 | 2024-05-03 | 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 | 2024-03-20 | 2024-05-03 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-03-20 | 2024-05-03 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-03-20 | 2024-05-03 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-03-20 | 2024-05-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-20 | 2024-05-03 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-03-20 | 2024-05-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-20 | 2024-05-03 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2024-03-20 | 2024-05-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-20 | 2024-05-03 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-04-04 | 2024-04-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-04 | 2024-04-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-04-04 | 2024-04-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-01 | 2023-03-20 | 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 | 2023-02-01 | 2023-03-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-01 | 2023-03-20 | 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 | 2023-02-01 | 2023-03-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-01 | 2023-03-20 | N |
| Provide activities to meet all resident's needs. | Health | 2023-02-01 | 2023-03-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-01 | 2023-03-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-01 | 2023-03-20 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-02-01 | 2023-03-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-10 | 2023-02-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-10 | 2023-02-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-10 | 2022-10-14 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-02-25 | 2020-04-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-02-25 | 2020-04-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-25 | 2020-04-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-18 | 2020-04-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-18 | 2020-04-22 | 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 | 2020-02-18 | 2020-04-22 | N |
| Provide activities to meet all resident's needs. | Health | 2020-02-18 | 2020-04-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-18 | 2020-04-22 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2020-02-18 | 2020-04-22 | 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 | 2020-02-18 | 2020-04-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-02-18 | 2020-04-22 | 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 | 2020-02-18 | 2020-04-22 | 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 | 2020-02-18 | 2020-04-22 | N |
| Provide or obtain dental services for each resident. | Health | 2020-02-18 | 2020-04-22 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2020-02-18 | 2020-04-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-18 | 2020-04-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-18 | 2020-04-22 | N |
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