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Deficiency Records for Encore Village
A list of the most recent deficiencies for Encore Village. 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 Encore Village. 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? |
|---|---|---|---|---|
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-07-24 | 2024-08-22 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-19 | 2024-02-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-12-19 | 2024-01-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-12-27 | 2024-01-10 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-12-19 | 2024-01-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-19 | 2024-01-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-19 | 2024-01-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-19 | 2024-01-04 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-12-19 | 2023-12-29 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-12-19 | 2023-12-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-19 | 2023-12-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-06 | 2023-12-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-06 | 2023-12-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-06 | 2023-12-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-12-06 | 2023-12-15 | 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 | 2023-12-06 | 2023-12-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-01-27 | 2023-03-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-27 | 2023-03-13 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-01-27 | 2023-03-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-27 | 2023-03-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-01-27 | 2023-03-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-27 | 2023-03-13 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2023-01-27 | 2023-03-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-27 | 2023-03-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-27 | 2023-03-13 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-01-05 | 2023-02-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-05 | 2023-02-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-05 | 2023-02-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-05 | 2023-02-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-05 | 2023-02-19 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-04-12 | 2022-05-03 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-03-24 | 2022-04-08 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-03-24 | 2022-04-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-24 | 2022-04-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-24 | 2022-04-08 | 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 | 2022-03-24 | 2022-04-08 | N |
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