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Deficiency Records for Center at Eden Hill, LLC

A list of the most recent deficiencies for Center at Eden Hill, 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 Center at Eden Hill, 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?
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-06-13 2024-08-01 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-06-13 2024-08-01 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-06-13 2024-08-01 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-06-13 2024-08-01 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 2024-06-13 2024-08-01 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2023-06-29 2023-07-17 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-06-29 2023-07-17 N
Provide routine and 24-hour emergency dental care for each resident. Health 2023-06-23 2023-07-12 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-11-19 2022-01-14 Y
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2021-11-19 2022-01-14 Y
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2021-11-19 2022-01-14 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-11-19 2022-01-14 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2021-11-19 2022-01-14 Y
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2021-11-19 2022-01-14 Y
Provide enough food/fluids to maintain a resident's health. Health 2021-11-19 2022-01-14 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-11-19 2022-01-14 Y
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2021-11-19 2022-01-14 Y
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2021-11-19 2022-01-14 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-11-19 2022-01-14 Y
The resident has the right to receive notices in a format and a language he or she understands. Health 2021-08-13 2021-09-17 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 2021-08-13 2021-09-17 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-08-13 2021-09-17 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-08-13 2021-09-17 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-08-13 2021-09-17 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 2021-08-13 2021-09-17 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 2021-08-13 2021-09-17 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-08-13 2021-09-17 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-08-13 2021-09-17 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2021-08-13 2021-09-17 N
Provide and implement an infection prevention and control program. Health 2021-08-13 2021-09-17 N
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2021-08-13 2021-09-17 N
Establish staff and initial training requirements. Fire Safety 2021-08-13 2021-09-17 N

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