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Deficiency Records for Egret Cove Center
A list of the most recent deficiencies for Egret Cove 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 Egret Cove 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? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-05-16 | 2024-06-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-16 | 2024-06-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-16 | 2024-06-16 | 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 | 2024-05-16 | 2024-06-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-16 | 2024-06-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-16 | 2024-06-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-05-16 | 2024-06-16 | N |
| Post nurse staffing information every day. | Health | 2024-05-16 | 2024-06-16 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-05-16 | 2024-06-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-16 | 2024-06-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-16 | 2024-06-16 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-05-14 | 2024-06-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-14 | 2024-06-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-14 | 2024-06-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-14 | 2024-06-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-14 | 2024-06-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-05-14 | 2024-06-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-05 | 2022-06-05 | 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 | 2022-05-05 | 2022-06-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-01-27 | 2022-02-27 | Y |
| 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 | 2022-01-27 | 2022-02-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-01-15 | 2021-02-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-01-13 | 2021-02-12 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2021-01-13 | 2021-02-12 | N |
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