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Deficiency Records for Ambassador Nursing and Rehab Center

A list of the most recent deficiencies for Ambassador Nursing and Rehab 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 Ambassador Nursing and Rehab 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?
Reasonably accommodate the needs and preferences of each resident. Health 2024-08-30 2024-09-17 Y
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 2024-07-12 2024-08-05 N
Keep residents' personal and medical records private and confidential. Health 2024-07-12 2024-08-05 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 2024-07-12 2024-08-05 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-07-12 2024-08-05 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 2024-07-12 2024-08-05 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 2024-07-12 2024-08-05 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-07-12 2024-08-05 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-07-12 2024-08-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-07-12 2024-08-05 N
Dispose of garbage and refuse properly. Health 2024-07-12 2024-08-05 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2024-07-12 2024-08-05 N
Provide and implement an infection prevention and control program. Health 2024-07-12 2024-08-05 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-07-12 2024-08-05 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 2024-06-21 2024-07-04 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-02-25 2024-03-08 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 2023-11-27 2023-12-13 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-11-27 2023-12-13 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-11-27 2023-12-13 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-11-27 2023-12-13 Y
Provide and implement an infection prevention and control program. Health 2023-10-08 2023-10-20 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-08-08 2023-08-24 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2023-08-08 2023-08-24 N
Address subsistence needs for staff and patients. Fire Safety 2023-08-08 2023-08-24 N
Establish staff and initial training requirements. Fire Safety 2023-08-08 2023-08-24 N
Conduct testing and exercise requirements. Fire Safety 2023-08-08 2023-08-24 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2023-08-08 2023-08-24 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-08-08 2023-08-24 N
Have an enclosure around a vertical opening shaft. Fire Safety 2023-08-08 2023-08-24 N
Provide properly protected cooking facilities. Fire Safety 2023-08-08 2023-08-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-08-08 2023-08-24 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-08-08 2023-08-24 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-08-08 2023-08-24 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-08-08 2023-08-24 N
Install properly constructed and protected linen or trash chutes. Fire Safety 2023-08-08 2023-08-24 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-08-08 2023-08-24 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-08-08 2023-08-24 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-08-03 2023-08-21 N
Ensure residents have reasonable access to and privacy in their use of communication methods. Health 2023-08-03 2023-08-21 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 2023-08-03 2023-08-21 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-08-03 2023-08-21 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-08-03 2023-08-21 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-08-03 2023-08-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-08-03 2023-08-21 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2023-08-03 2023-08-21 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-08-03 2023-08-21 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-08-03 2023-08-21 N
Provide and implement an infection prevention and control program. Health 2023-08-03 2023-08-21 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-08-03 2023-08-21 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-07-22 2023-08-09 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-07-22 2023-08-09 Y
Assist a resident in gaining access to vision and hearing services. Health 2023-04-23 2023-05-09 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-04-14 2023-05-03 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-01-22 2023-02-07 Y
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-09-15 2022-11-04 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-10-17 2022-10-21 Y
Provide properly protected cooking facilities. Fire Safety 2022-09-15 2022-10-12 N
Install an approved automatic sprinkler system. Fire Safety 2022-09-15 2022-10-12 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2022-09-15 2022-09-29 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-09-16 2022-09-28 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 2022-09-16 2022-09-28 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-09-16 2022-09-28 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-09-16 2022-09-28 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-16 2022-09-28 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-09-16 2022-09-28 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-09-16 2022-09-28 N
Ensure medication error rates are not 5 percent or greater. Health 2022-09-16 2022-09-28 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 2022-09-16 2022-09-28 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2022-09-16 2022-09-28 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-09-15 2022-09-28 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-09-15 2022-09-28 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2022-09-15 2022-09-28 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-09-15 2022-09-28 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-09-15 2022-09-28 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-09-15 2022-09-28 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2022-09-15 2022-09-27 N
Use approved construction type or materials. Fire Safety 2022-09-15 2022-09-27 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-09-15 2022-09-27 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-09-15 2022-09-25 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-09-15 2022-09-19 N
Have properly located and lighted "Exit" signs. Fire Safety 2022-09-15 2022-09-19 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-09-15 2022-09-19 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-09-15 2022-09-17 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-09-15 2022-09-17 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 2022-09-15 2022-09-16 N
Install properly constructed and protected linen or trash chutes. Fire Safety 2022-09-15 2022-09-16 N
Have an enclosure around a vertical opening shaft. Fire Safety 2022-09-15 2022-09-15 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-06-29 2022-07-20 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-07-06 2022-07-19 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-04-24 2022-04-29 Y
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2022-02-18 2022-03-07 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-12-17 2022-01-11 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-11-10 2021-11-26 Y

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